Tools & Documents for Workers

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Authorization for Release of Protected Health Information

Authorization for release of protected health information (HIPAA compliant)

Type
PDF
Last Updated
2016-03-18

Choice of Physician

Employee’s Choice of Physician Form

Type
PDF
Last Updated
2016-03-18

Common Workers' Comp Terms

Type
PDF
Last Updated
2016-08-11

First Fill Program Pharmacy Card

Type
DOC
Last Updated
2016-06-14

Mileage Claim Form

Workers’ Compensation Mileage Claim Form

Type
PDF
Last Updated
2016-03-18