| CHOICE OF PHYSICIAN FORM FOR ON-THE-JOB INJURIES | ||
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Pursuant to the Labor Code Sections 4600 and 4601, you may be treated by a
physician of your choice from the 1st day of injury and thereafter; provided
you have a personal physician and provided you have notified your employer
of the name and address of this physician. If you use Kaiser Health
Plan, Takecare, Healthnet, or any other HMO, you may name the Health Care
Plan as your physician. If you wish to select both a chiropractor and
a physician, you must notify your employer of the name and addresses of
both. Forms are available at Local 315. For an on-line form, please READ & acknowledge that you UNDERSTAND the following limitations and instructions:
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