Need a Doctor?

Document Information
  How to complete a fillable form.
Title Need a Doctor?

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.

Document number F160-006-000
How to get this document
  • Order it from our Warehouse
  • Alt Language(s) Español
    Valid dates 04/2014
    Contact information
    Websites Find a Doctor

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