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Medical Provider Network

The following information explains the Workers Compensation Medical Provider Network. These changes are effective Jan. 1, 2005.
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By completing the information below and clicking the "Agree" button, I acknowledge I have received the California Medical Provider Network for Workers Compensation announcement.

I understand that in order to pre-designate my personal physician(s) as my Workers Compensation medical provider(s), I must print the appropriate page, complete it and forward it to the Risk Management Office.
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