Transfer of Care Card

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Title Transfer of Care Card

Used by injured worker to notify claim manager and request authorization to transfer care to a different doctor. Do it online! Use the online Transfer of Care

Document number F245-037-000
How to get this document
Keywords attending physician, claims, espanol, industrial insurance, medical, new doctor, physician, provider, spanish, worker's compensation, workers compensation, workers' compensation
Alt Language(s) Español
Valid dates 04/2014, 09/2012
Contact information Claims for Job Injuries, Employer Services
Websites For Medical Providers, Workers' Comp Claims

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