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What do we need for a referral?
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First Report of Injury – if available. If not then please send as much demographic information as possible. We at least need the DOB, SSN and a contact phone number…although we have started files without them!
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Signed Panel C42 with the choice of an authorized physician. If you need a panel, then we will provide you with a recommendation. We will follow up with the injured worker to obtain their choice and schedule the appointment as soon as possible.
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Medical records if you have any available. We will obtain if you do not.
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That is absolutely all we need to get started!
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