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TITLE 8. INDUSTRIAL RELATIONSDIVISION 1. DEPARTMENT OF INDUSTRIAL RELATIONSCHAPTER 4.5. DIVISION OF WORKERS COMPENSATIONSUBCHAPTER 1. ADMINISTRATIVE DIRECTOR ADMINISTRATIVE RULESARTICLE 5. Redesignation
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What is Predesignation of Personal Physician; Request for Change of Physician; Reporting Duties of the Primary Treating Physician; Petition for Change of Primary Treating Physician Form?

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Predesignation of personal physician allows an employee to designate their personal physician or medical group before any work-related injury occurs.
Employees in California who want to predesignate their personal physician must meet certain criteria set by the state's workers' compensation laws.
To fill out predesignation of personal physician form, employees need to provide their personal physician's name, address, and contact information.
The purpose of predesignation of personal physician is to ensure that employees can receive medical treatment from a doctor they trust in case of a work-related injury.
Employees must report their personal physician's name, address, and contact information on the predesignation form.
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