Free Physician's guide order form - California


File Size: 107.2 kB
Pages: 1
Date: February 18, 2009
File Format: PDF
State: California
Category: Workers Compensation
Author: jeanne lum
Word Count: 114 Words, 770 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.dir.ca.gov/DWC/MedicalUnit/OrderForm.pdf

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THE PHYSICIAN'S GUIDE TO MEDICAL PRACTICE IN THE CALIFORNIA WORKERS' COMPENSATION SYSTEM
(3RD Edition, printed 12/01) The Manual covers: An overview of the California Workers' Compensation System The basic concepts of: Compensability Disability The role of treating/evaluating physician's in the work compensation system The evaluator's conduct & ethics Guidelines for the evaluator's office staff Various forms and resource materials

Order your copy today!
(please type or print legibly)
Return with a check for $15.00, payable to: Division of Workers' Compensation Mail to: Division of Workers' Compensation ­ Attn: Medical Unit P O Box 71010, Oakland, CA 94612

NAME: COMPANY NAME: STREET ADDRESS:
(No P. O. Box Address Please)

CITY:

STATE:

ZIP:

PHONE NUMBER: