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Get OH BWC Form FR0I-1 2009-2024

Y medical providers. I permit and authorize any provider who attends, treats or examines me, and the Ohio Rehabilitation Services Commission (where relevant) to release medical, psychological, psychiatric, vocational or social information that is causally or historically related to my physical or mental injuries relevant to issues necessary for the administration of my claim to: BWC, the Industrial Commission of Ohio, the employer in this claim, the employer s BWC MCO and any authorized repres.

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