Get a Form or Publication: health-care provider

Your search for "health-care provider" returned 8 documents.

Title Type Number
3 Things to Know About L&I's Medical Provider Network - Spanish (3 Cosas que Debe Conocer Sobre la Red de Proveedores Médicos de L&I)
Also available in: English

 

Handout: Explains to workers the basic information about L&I’s Medical Provider Network. The handout can be used with workers covered both by L&I and by self-insured employers. Applies to workers in Washington state. Includes website and phone number contact information.

 

F242-406-999
3 Things to Know about L&I's Medical Provider Network
Also available in: Spanish

Handout: Explains to workers the basic information about L&I’s Medical Provider Network. The handout can be used with workers covered both by L&I and by self-insured employers. Applies to workers in Washington state. Includes website and phone number contact information.

Publication F242-406-000
Billing Guidelines for Sexual Assault Examinations: Crime Victims Compensation Program

Provides information health-care providers need to bill the Crime Victims Compensation Program for medical services.

Publication F800-100-000
Insurer Activity Prescription Form - Spanish Formulario de Restricciones Laborales del Asegurador
Also available in: English

Used by Spanish speaking health-care providers to communicate an injured worker's status, physical capacities, inability to work (time-loss) and treatment plans.

Utilizado por proveedores de cuidado de la salud que hablan español para indicar la condición actual del trabajador lesionado, restricciones físicas, certificación de tiempo perdido y planes de tratamiento.

Form F242-385-909
Insurer Activity Prescription Form
Also available in: English/Spanish

Used by health-care providers to communicate an injured worker's status, physical capacities, inability to work (time-loss) and treatment plans. To print an APF, click on the title of the form in the box above.

Form F242-385-000
WISHA Occupational Exposure to Bloodborne Pathogens - Chapter 296-823 WAC

Pathogenic microorganisms that are present in human blood and can cause disease in humans.

Manual F414-073-000
Need a Doctor?
Also available in: Spanish

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.

Publication F160-006-000
Need a Doctor? - Spanish (¿Necesita un doctor?)
Also available in: English

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.

Publication F160-006-999



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