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Physicians Request for Medical Service or Recommendation for Additional Conditions for Industrial Injury or Occupational DiseaseCompleting form C9Instructions Please print or type this report. Complete
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Completing form request is for requesting information or action to be taken by a specific party.
Any individual or entity requiring information or action to be taken by another party may file a completing form request.
Completing form request should be filled out with all necessary information and supporting documents, then submitted to the relevant party for review.
The purpose of completing form request is to efficiently communicate requests for information or action to the relevant party.
Completing form request should include details of the requested information or action, as well as any necessary supporting documentation.
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