Need a Doctor?
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
 Need a Doctor? (316 KB PDF)
|
|
| Description | 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. | |
| Detail | ||
| Form number | F160-006-000 | |
| Availability | Order it |
|
| Keywords | claims, español, injured worker, medical provider, medical services, treatment | |
| Languages | English , Spanish | |
| Valid dates | 06-2009 | |
| Contact information | ||
| Web pages | Find a Doctor | |
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