Mesa Arizona Request to Change Doctors

State:
Arizona
City:
Mesa
Control #:
AZ-105-WC
Format:
Word; 
PDF; 
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Description

This is an official Workers' Compensation form for the state of Arizona.

A Mesa Arizona Change of Doctor Request for Workers' Compensation is a document that enables injured employees to request a change in their treating physician or medical provider for their workers' compensation case in Mesa, Arizona. This request is made when the injured worker desires to switch doctors due to various reasons such as dissatisfaction with the current physician, seeking a specialist's opinion, or relocating to a different area. In Mesa, Arizona, there are two main types of Change of Doctor Requests for Workers' Compensation: 1. Voluntary Change of Doctor Request: This type of request allows the injured worker to switch treating physicians voluntarily. The employee can choose a new doctor, preferably one who specializes in their specific injury or condition. By submitting a voluntary change of doctor request, Mesa, Arizona employees can ensure they receive the best possible medical care for their work-related injury. 2. Mandatory Change of Doctor Request: A mandatory change of doctor request occurs when the Industrial Commission of Arizona (ICA) requires the injured employee to change their treating physician. This can happen if the initial treating physician's medical care is deemed inappropriate or insufficient by the ICA or the employee's workers' compensation carrier. The ICA may order a mandatory change of doctor to ensure the injured worker receives proper treatment to aid their recovery. Keywords: Mesa Arizona, Change of Doctor Request, Workers' Compensation, injured employees, treating physician, medical provider, voluntary change, specialist's opinion, relocating, voluntary change of doctor request, mandatory change, Industrial Commission of Arizona, initial treating physician, medical care, inappropriate, insufficient, workers' compensation carrier, proper treatment, recovery.

A Mesa Arizona Change of Doctor Request for Workers' Compensation is a document that enables injured employees to request a change in their treating physician or medical provider for their workers' compensation case in Mesa, Arizona. This request is made when the injured worker desires to switch doctors due to various reasons such as dissatisfaction with the current physician, seeking a specialist's opinion, or relocating to a different area. In Mesa, Arizona, there are two main types of Change of Doctor Requests for Workers' Compensation: 1. Voluntary Change of Doctor Request: This type of request allows the injured worker to switch treating physicians voluntarily. The employee can choose a new doctor, preferably one who specializes in their specific injury or condition. By submitting a voluntary change of doctor request, Mesa, Arizona employees can ensure they receive the best possible medical care for their work-related injury. 2. Mandatory Change of Doctor Request: A mandatory change of doctor request occurs when the Industrial Commission of Arizona (ICA) requires the injured employee to change their treating physician. This can happen if the initial treating physician's medical care is deemed inappropriate or insufficient by the ICA or the employee's workers' compensation carrier. The ICA may order a mandatory change of doctor to ensure the injured worker receives proper treatment to aid their recovery. Keywords: Mesa Arizona, Change of Doctor Request, Workers' Compensation, injured employees, treating physician, medical provider, voluntary change, specialist's opinion, relocating, voluntary change of doctor request, mandatory change, Industrial Commission of Arizona, initial treating physician, medical care, inappropriate, insufficient, workers' compensation carrier, proper treatment, recovery.

How to fill out Mesa Arizona Request To Change Doctors?

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Mesa Arizona Request to Change Doctors