Physicians Guide Order Form

THE PHYSICIAN'S GUIDE TO MEDICAL PRACTICE IN THE CALIFORNIA WORKERS' COMPENSATION SYSTEM (3RD Edition, printed 12/01) As a result of 2003 and 2004 legislative changes and 2009 and 2013 regulatory changes, some portions of this Physician's Guide may be inconsistent with current law. Therefore, it must not be considered authoritative, and should only be consulted as an historical document. The Manual covers: An overview of the California Workers' Compensation System The basic concepts of: Compensability Disability The role of treating/evaluating physician's in the work compensation system The evaluator's conduct & ethics Guidelines for the evaluator's office staff Various forms and resource materials Order your copy today! (please type or print legibly) Return with a check for $15.00, payable to: Division of Workers' Compensation Mail to: Division of Workers' Compensation ­ Attn: Medical Unit P O Box 71010, Oakland, CA 94612 NAME: COMPANY NAME: STREET ADDRESS: (No P. O. Box Address Please) CITY: STATE: ZIP: PHONE NUMBER: American LegalNet, Inc. www.FormsWorkFlow.com