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SPRINT CLEARPREDESIGNATION OF PERSONAL PHYSICIAN In the event you sustain an injury or illness related to your employment, you may be treated for such injury or illness by your personal medical doctor

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How to fill out predesignation regulations

01

To fill out predesignation regulations, follow these steps:

02

Obtain the predesignation form from your employer or insurance carrier.

03

Fill in your personal information, including your name, address, and contact details.

04

Provide details about your designated physician or healthcare provider. This may include their name, address, and contact information.

05

Sign and date the predesignation form.

06

Submit the completed form to your employer or insurance carrier according to their preferred method (mail, email, etc.). Make sure to keep a copy for your records.

Who needs predesignation regulations?

01

Predesignation regulations are typically needed by employees who have workers' compensation insurance and wish to designate a specific physician or healthcare provider for any potential work-related injury or illness that may occur in the future.

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What is predesignation regulations?

Predesignation regulations allow an employee to designate a personal physician or medical group to treat any work-related injury or illness.

Who is required to file predesignation regulations?

Employees who wish to predesignate their personal physician or medical group are required to file predesignation regulations.

How to fill out predesignation regulations?

Predesignation regulations can be filled out by providing the necessary information about the designated physician or medical group in the required form.

What is the purpose of predesignation regulations?

The purpose of predesignation regulations is to give employees the option to choose their own treating physician for work-related injuries or illnesses.

What information must be reported on predesignation regulations?

Predesignation regulations must include the name, address, and specialty of the designated physician or medical group.

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