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GLOUCESTER COUNTY PUBLIC SCHOOLS WORKERS COMPENSATION APPROVED PANEL OF PHYSICIANS & MEDICAL RELEASE FORM Riverside Urgent Care at Hayes 2246 George Washington Me. Hwy. Hayes, VA 23072 David Newton,
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Start by gathering all necessary information. This may include personal details, contact information, insurance information, and any medical history or conditions that need to be disclosed.
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Fill out the required sections of the form accurately. Take your time and ensure that all information is entered correctly to avoid any complications later on.
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Make sure to provide the names of the physicians you wish to include in your panel. Research and choose physicians who meet your specific healthcare needs and preferences.
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Who needs 2013 panel of physicians?

01
Individuals who are enrolled in health insurance plans that require the selection of a panel of physicians.
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Patients who prefer having a primary care physician and want to ensure coordinated and continuous care.
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Those who have specific medical conditions or need specialized care and want to have a selected group of physicians to choose from.
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People who value having a personal relationship with their healthcare providers and want to establish long-term connections with the same physicians.
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The panel of physicians is a list of doctors provided by the employer or insurance company for the injured worker to choose from for medical treatment.
The employer or insurance company is required to provide the panel of physicians to the injured worker.
The panel of physicians should be filled out with the names, specialties, and contact information of the doctors on the list.
The purpose of the panel of physicians is to give the injured worker options for medical treatment and to ensure that the treatment is covered by workers' compensation insurance.
The panel of physicians should include the names, specialties, and contact information of the doctors, as well as any restrictions or limitations on treatment.
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