Transfer of Care Card
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
 Transfer of Care Card (104 KB PDF)
|
|
| Description | 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 |
|
| Detail | ||
| Form number | F245-037-000 | |
| Availability | Order it |
|
| Keywords | attending physician, claims, espanol, industrial insurance, medical, new doctor, physician, provider, spanish, worker's compensation, workers compensation, workers' compensation | |
| Languages | English , Spanish | |
| Valid dates | 09-2012 | |
| Contact information |
Managing Injured Workers' Claims
Claims for Job Injuries |
|
| Web pages | For Medical Providers Workers' Comp Claims |
|
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