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Text File  |  1991-07-20  |  2KB  |  48 lines
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  8.                    REPORTING INJURIES
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  11. IT IS NECESSARY THAT YOU REPORT TO YOUR SUPERVISOR IMMEDIATELY
  12. ANY WORKRELATED INJURY OR ILLNESS.
  13.  
  14. THE PROMPT REPORTING OF EVERY WORK-RELATED INJURY OR ILLNESS 
  15. PROVIDES YOU WITH THE EARLIEST POSSIBLE MEDICAL TREATMENT AND A 
  16. RECORD  OF THE EVENT TO SUBSTANTIATE PAYMENT FOR ANY  FUTURE MEDICAL
  17. TREATMENT. ANY REQUEST FOR PAYMENT FROM  A MEDICAL FACILITY OR 
  18. PHYSICIAN FOR TREATMENT OF ANY INJURY OR ILLNESS MUST BE VALIDATED BY
  19. A RELATED REPORT  OF INJURY OR ILLNESS ON FILE  IN OUR FACILITY.
  20.  
  21. THE MEDICAL FACILITY AND PHYSICIANS IDENTIFIED BELOW ARE 
  22. DESIGNATED TO TREAT EMPLOYEES WITH WORK-RELATED INJURY OR ILLNESS.
  23.  
  24. WHEN AN EMERGENCY ARISES, OTHER PROFESSIONAL MEDICAL TREATMENT MAY  
  25. BE PROVIDED.
  26. TREATMENT AFTER THE EMERGENCY VISIT SHALL, EXCEPT AS 
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  28.           
  29. NOTED BELOW, BE THE FACILITY'S DESIGNATED MEDICAL FACILITY AND 
  30. PHYSICIANS.
  31.                THIS FACILITY HAS SELECTED-
  32. ____________________________________________________________________
  33. _____________________________________________________________________
  34.                AS IT'S MEDICAL FACILITY AND -
  35. ___________________________________________________________________
  36. __________________________________________________________________
  37.  
  38.                AS IT'S PHYSICIAN.
  39.  
  40.  
  41. ALTERNATE MEDICAL TREATMENT
  42. IN ACCORDANCE WITH THE PROVISIONS OF THE LABOR CODE OF THE STAT OF CA
  43. AN EMPLOYEE MUST NOTIFY HIS OR HER EMPLOYER IN WRITING PRIOR TO THE
  44. DATE OF INJURY THAT HE OR SHE CHOOSES TO USE HIS OR HER 
  45. 'PERSONAL PHYSICIAN FOR ALL INDUSTRIAL INJURIES.
  46. THE NAME, ADDRESS, AND TELEPHONE NUMBER OF THE PERSONAL PHYSICIAN 
  47. MUST BE INCLUDED IN THE NOTIFICATION.
  48.