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This document provides information about the Workers' Compensation Health Care Organization (HCO) program in California, detailing employee rights in selecting medical care for work-related injuries
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How to fill out CHOOSING MEDICAL CARE FOR WORK-RELATED INJURIES and ILLNESSES

01
Begin with your personal information, including your name, contact details, and the date of the injury or illness.
02
Provide details about your work situation, including your employer's name and contact information.
03
Describe the nature of your injury or illness clearly and concisely.
04
List any prior medical treatments related to this injury or illness, including dates and providers.
05
Indicate your preferred healthcare providers, if applicable, and any relevant medical history.
06
Sign and date the document to validate the information provided.

Who needs CHOOSING MEDICAL CARE FOR WORK-RELATED INJURIES and ILLNESSES?

01
Employees who have experienced work-related injuries or illnesses.
02
Employers seeking guidance on managing employee health and safety.
03
Health care professionals involved in treating work-related conditions.
04
Workers' compensation claims adjusters who require documentation for case processing.
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A work injury is the result of any work-related event that causes a need for medical treatment and/or time away from work.
Take the help of an employee with first aid training to assess the level of medical care required. If it's a minor injury, ask the employee if they wish for an ambulance and offer onsite care as an alternative. If the work injury is severe, call 911 immediately to take them to the nearest health care facility.
The most common causes of work-related injuries are: lifting, pushing, pulling or bending. a fall on the same level (including slip or fall) hitting or being hit or cut by an object or vehicle.
Ideally, you should report your injury to security, medical, or HR. They will then follow up with worker's compensation insurance. Of course, pursue necessary emergency care immediately.
Even if you don't think your injury is serious enough for medical attention, take these steps if you get hurt at work: Tell your supervisor. Give them the details of your injury. Get first aid and see a doctor if needed.
Follow these tips as soon as possible after an injury: Rest. Pain is your body's way of telling you to rest an injured area. Ice. Ice is a great pain reliever. Compression. Putting pressure (compression) on an injury helps limit swelling and gives support. Elevation.
What if I am injured at work? If you are injured, call a supervisor for help. If the supervisor is not available, get medical assistance or call 911. All employers must notify OSHA within 8 hours of a workplace fatality or within 24 hours of any work-related inpatient hospitalization, amputation or loss of an eye.

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CHOOSING MEDICAL CARE FOR WORK-RELATED INJURIES and ILLNESSES refers to the process by which employees select medical treatment options available to them when they suffer injuries or illnesses as a result of their work environment.
Typically, employees who have sustained work-related injuries or illnesses are required to file CHOOSING MEDICAL CARE forms to ensure that they receive appropriate medical care and that their employer’s workers' compensation insurance is notified.
To fill out CHOOSING MEDICAL CARE forms, employees should provide their personal information, details about the injury or illness, any medical providers they wish to choose, and ensure that they follow any specific instructions outlined by their employer or workers' compensation board.
The purpose of CHOOSING MEDICAL CARE is to ensure that employees receive timely and appropriate medical treatment for their work-related injuries and illnesses, while also facilitating the workers' compensation process.
Information that must be reported includes the employee's name and contact details, the nature of the injury or illness, date and time of occurrence, chosen medical provider, and any additional relevant medical history or circumstances related to the injury.
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