WebSection 9783: DWC Form 9783 Predesignation of Personal Physician. Specific Purpose of Section: The purpose of this section is to set forth the optional form for an employee to … WebTexas Department of Insurance

NOTICE OF PERSONAL CHIROPRACTOR OR PERSONAL …

WebYou may use this form to notify your employer of your personal chiropractor or acupuncturist. ... (Optional DWC Form 9783.1 Effective date March 2006 July 1, 2014) Authority: Sections 59, 133 and 4603.5, Labor Code. Reference: Sections 3551, 4600, and 4616, Labor Code. Web(Optional DWC Form 9783.1 Effective date July 1, 2014) Pre-designation Of Personal Physician In the event you sustain an injury or illness related to your employment, you ... workers’ compensation, however there are a few exceptions. People that are self-employed or volunteer workers may not be covered. Similar laws cover federal eagle creek emergency group

Department of Human Resources

WebDWC Form 9768.10 : May 2007: Medical mileage expense form - For mileage on or after 01-01-11 to 06-30-11: I&A Mileage Form: Rev. 04/13 : Notice of Medical Provider Network Plan Modification §9767.8: DWC Mandatory Form -- Section 9767.8: 8/14: Notice of Personal Chiropractor or Personal Acupuncturist: DWC FORM 9783.1: 7/2014 WebOct 1, 2024 · Personal Chiropractor or Acupuncturist Designation Form DWC FORM 9783.1 . v051514 © CalChamber. Page 1 of 1. If your employer or your employer’s insurer does … WebDWC FORM 9783.1 (March 14, 2006) NOTICE OF PERSONAL CHIROPRACTOR OR PERSONAL ACUPUNCTURIST If your employer or your employer’s insurer does not have a Medical Provider Network, you may be able to change your treating physician to your personal chiropractor or acupuncturist following a work-related injury or illness. csif remer