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YOUR OWN DOCTOR IN ANY FIELD OR SPECIALTY OF MEDICINE FOR MEDICAL TREATMENT. THE LAW ALSO ALLOWS YOUR EMPLOYER TO HAVE YOU SEE HIS/HER DOCTOR, BUT YOU DO NOT HAVE TO AGREE TO CONTINUE TREATMENT WITH YOUR EMPLOYER S DOCTOR UNLESS THAT IS WHAT YOU WANT. IF YOU WANT YOUR EMPLOYER S DOCTOR TO CONTINUE TREATING YOU AFTER YOUR FIRST VISIT WITH HIM/HER, AND AFTER RECEIVING THIS FORM, YOU MAY CHOOSE YOUR EMPLOYER S DOCTOR AS YOUR TREATING DOCTOR. ONCE YOU CHOOSE EITHER YOUR EMPLOYER S DOCTOR OR.

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