Need a Doctor?

Need a Doctor? - (Forms/Publications)
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Title   Need a Doctor? (316 KB PDF)
Description Information card: Provides contact information for injured workers needing assistance in finding a health-care provider who will treat their occupational injury or disease. This PDF will print out an 8.5" X 11" sheet that has 12 copies of the card. Note: Disclaimer information on Page 2 may not line up accurately in two-sided printing.
Form number F160-006-000
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Keywords claims, español, injured worker, medical provider, medical services, treatment
Languages English , Spanish
Valid dates 06-2009
Contact information
Web pages Find a Doctor

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