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Get Change Your Doctor Request Foms

Injury. You may choose a doctor who has treated you or an immediate family member before this injury happened. Immediate family members are your spouse, children, parents, stepchildren and stepparents. The doctor you choose must have records to show that past treatment was provided. Your employer may ask the person who was treated to give permission so the doctor can verify past treatment. If you want to choose your doctor, you must tell your employer the name of the doctor you choose. Do this a.

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