Transfer of Care Card


Document Information
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Title Transfer of Care Card
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

Document number F245-037-000
How to get this document
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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