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CONFIDENTIAL /PROPRIETARY California Participating Physician Application This application is submitted to:, herein, this Healthcare Organization 1 I. INSTRUCTIONS This form should be typed or legibly
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What is california participating physician initial?
California participating physician initial is a form that must be completed by physicians who wish to participate in California's workers' compensation system.
Who is required to file california participating physician initial?
All physicians who want to participate in California's workers' compensation system are required to file california participating physician initial.
How to fill out california participating physician initial?
California participating physician initial can be filled out online or by hand, following the instructions provided on the form.
What is the purpose of california participating physician initial?
The purpose of california participating physician initial is to ensure that physicians meet the requirements to participate in California's workers' compensation system.
What information must be reported on california participating physician initial?
California participating physician initial requires information such as physician's contact information, medical license number, and agreement to follow workers' compensation guidelines.
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