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Get Dwc 067 Form

Check and attach the following required documents Copy of Designated Doctor Training Certificate s Mail the completed DWC Form-067 Designated Doctor Certification Application and attachments to the following address or fax to 512 804-4207 NOTE The application is deemed received by TDI-DWC when it is received in the Designated Doctor Outreach and Oversight Section at TDI-DWC.

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