Toledo Ohio Notice to Change Physician of Record for Workers' Compensation

State:
Ohio
City:
Toledo
Control #:
OH-C23-WC
Format:
Word; 
PDF; 
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Description

This is one of the official workers' compensation forms for the state of Ohio.

Toledo Ohio Notice to Change Physician of Record for Workers' Compensation is a legal document used in the state of Ohio to inform the Bureau of Workers' Compensation about an adjustment in the primary physician assigned to an injured worker's case. This notice allows the injured worker to request a change in their attending physician, in cases where medical treatment or circumstances require a different healthcare provider to be involved in their recovery. The Toledo Ohio Notice to Change Physician of Record for Workers' Compensation serves as an official notification to the Bureau of Workers' Compensation, ensuring that the correct information is recorded and implemented for the injured worker's medical care. Key details provided in this notice include the worker's personal information such as name, address, social security number, as well as the current attending physician's details like name, address, and contact information. When submitting the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation, it is important to include the reasons for the requested change, such as the physician's retirement, relocation, or if the worker desires a new specialist due to evolving medical needs. This thorough description ensures that the Bureau understands the rationale behind the request and can process it appropriately. Different types of Toledo Ohio Notice to Change Physician of Record for Workers' Compensation may include: 1. Voluntary Change Request: This type of notice is submitted by the injured worker requesting a change in their attending physician voluntarily, often due to a desire for a second opinion or dissatisfaction with the current medical care. 2. Physician's Retirement or Relocation: In cases where the assigned physician retires or relocates to another geographical area, the injured worker may submit this notice to inform the Bureau about the change in their doctor. 3. Specialist Referral: When the worker's medical condition requires expert treatment from a specialist, the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation can be utilized to request a change to a new attending physician who specializes in that particular area of medicine. It is crucial to complete the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation accurately and to submit it to the Bureau of Workers' Compensation within the specified timeframe. This ensures that the injured worker receives the appropriate medical attention required for their recovery and relieves any potential complications arising from miscommunication or delayed treatment.

Toledo Ohio Notice to Change Physician of Record for Workers' Compensation is a legal document used in the state of Ohio to inform the Bureau of Workers' Compensation about an adjustment in the primary physician assigned to an injured worker's case. This notice allows the injured worker to request a change in their attending physician, in cases where medical treatment or circumstances require a different healthcare provider to be involved in their recovery. The Toledo Ohio Notice to Change Physician of Record for Workers' Compensation serves as an official notification to the Bureau of Workers' Compensation, ensuring that the correct information is recorded and implemented for the injured worker's medical care. Key details provided in this notice include the worker's personal information such as name, address, social security number, as well as the current attending physician's details like name, address, and contact information. When submitting the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation, it is important to include the reasons for the requested change, such as the physician's retirement, relocation, or if the worker desires a new specialist due to evolving medical needs. This thorough description ensures that the Bureau understands the rationale behind the request and can process it appropriately. Different types of Toledo Ohio Notice to Change Physician of Record for Workers' Compensation may include: 1. Voluntary Change Request: This type of notice is submitted by the injured worker requesting a change in their attending physician voluntarily, often due to a desire for a second opinion or dissatisfaction with the current medical care. 2. Physician's Retirement or Relocation: In cases where the assigned physician retires or relocates to another geographical area, the injured worker may submit this notice to inform the Bureau about the change in their doctor. 3. Specialist Referral: When the worker's medical condition requires expert treatment from a specialist, the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation can be utilized to request a change to a new attending physician who specializes in that particular area of medicine. It is crucial to complete the Toledo Ohio Notice to Change Physician of Record for Workers' Compensation accurately and to submit it to the Bureau of Workers' Compensation within the specified timeframe. This ensures that the injured worker receives the appropriate medical attention required for their recovery and relieves any potential complications arising from miscommunication or delayed treatment.

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Toledo Ohio Notice to Change Physician of Record for Workers' Compensation