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Form122012 Palomar College compensation: Redesignation of Personal Physician If you have health insurance, and you are injured on the job you have the right to be treated immediately by your personal
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How to fill out compensation predesignation of personal:

01
Obtain the compensation predesignation form from your employer or the workers' compensation agency in your state.
02
Provide your personal information including your name, address, and contact details.
03
Identify your employer by providing their name and address.
04
Indicate the type of injury or illness that you are predesignating for, such as a specific body part or a specific type of illness.
05
Specify the healthcare provider or providers that you want to receive treatment from in case of any work-related injury or illness. Include their contact details and specialty, if applicable.
06
Sign and date the form to authorize the predesignation.

Who needs compensation predesignation of personal:

01
Employees who want to predesignate a specific healthcare provider to treat them in the event of a work-related injury or illness.
02
Workers who have specific medical conditions or preexisting injuries that require specialized care.
03
Individuals who want to ensure they have access to a specific doctor or medical facility that they trust.
Note: It is important to check the specific requirements and regulations of your state regarding compensation predesignation of personal, as the process may vary.
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Compensation predesignation of personal is a process by which an employee designates a personal physician or medical group to treat any work-related injuries or illnesses.
All employees have the right to file compensation predesignation of personal, but it is not mandatory.
Employees can fill out a predesignation form provided by their employer and submit it to the appropriate department.
The purpose of compensation predesignation of personal is to ensure that an employee receives prompt medical treatment from a physician of their choice in case of a work-related injury or illness.
The information required on compensation predesignation of personal includes the name and contact information of the designated physician or medical group.
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