California Workers Compensation Medical Treatment Pre-Designation Form

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DWC Form 9783 - California Department of Industrial …

https://www.dir.ca.gov/dwc/FORMS/DWCForm_9783.pdf

DWC Form 9783 - California Department of Industrial Relations

DWC Forms - California Department of Industrial Relations

https://www.dir.ca.gov/dwc/forms.html

Pre-designation forms Fillable form instructions - we recommend downloading forms to your desktop Fillable form instructions = Fillable Adobe Acrobat form - en español = …

DWC - I was injured at work - Medical care - California …

https://www.dir.ca.gov/dwc/MedicalCare.htm

The doctors who treat you must follow treatment guidelines referred to as the medical treatment utilization schedule (MTUS). Only the treatment that meets the guidelines …

California Code of Regulations, Title 8, Section 9780.1.

https://www.dir.ca.gov/t8/9780_1.html

Employee's Predesignation of Personal Physician. (a) An employee may be treated for an industrial injury in accordance with section 4600 of the Labor Code by a personal …

DWC Independent Medical Review (IMR) - California …

https://www.dir.ca.gov/dwc/imr.htm

California's workers' compensation system uses a process called independent medical review (IMR) to resolve disputes about the medical treatment of injured employees. As …

Workers' Compensation - CalHR - California

https://www.calhr.ca.gov/state-hr-professionals/Pages/benefits-administration-manual-workers'-compensation.aspx

The Guide to Workers' Compensation for New State of California Employees (e13546) includes a pre-designation form. The employee must have …

California Pre-Designation Form - Geklaw

https://www.geklaw.com/workers-comp-forms/pre-designation.html

Pre-Designation Form Download Form This is a form that was created by the Division of Workers' Compensation, consistent with Labor Code Section 4600 (d), to allow an …

Pre-Designating a Physician - California State University, …

https://www.csudh.edu/hr/workers-compensation/wc-forms/pre-designating-a-physician

1.) The employee's regular licensed physician or surgeon; 2.) Who is the primary care physician and has previously directed the employee's treatment and retains the …

California Workers’ Comp Forms

https://www.employers.com/where-employers-does-business/california-workers-comp/california-claim-forms/

This form provides your employees with information regarding workers’ compensation benefits and the Medical Provider Network (MPN) in California. In addition to this …

State of California

https://dir.ca.gov/dwc/PR-4.pdf

(1) The accumulation of all permanent disability awards issued with respect to any one region of the body in favor of one individual employee shall not exceed 100 percent over …

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