Seeking Medical Care

Please inform your health care provider that the injury is a workers’ compensation injury. This will allow providers to send the necessary medical records to WSI. The earlier WSI receives medical records, the earlier a decision can be made on the claim.

WSI encourages employers to accompany employees when seeking medical care. An employer does not necessarily have the right to be present in the examining room during the exam, but will benefit by going along because as an employer he or she will have a better understanding of any work restrictions recommended by the doctor. This enables employers to accommodate any restrictions and provide a safe return to work for employees.

After the initial medical treatment and after all ongoing medical treatments, provide your employer with the Capability Assessment form (C3). The C3 form will include the nature and extent of the injury, estimated course of recovery, and a return-to-work plan including identified restrictions, if needed.

Where to Seek Care

In an emergency:

  • Seek immediate medical care at the nearest emergency room
  • Notify the health care provider that your injury is a workers' compensation injury
  • As soon as possible after the injury occurred, notify your supervisor or employer

In all other instances:

  • Inform your employer of the injury before seeking medical care
    • All injuries, no matter how small, should be reported to your employer
  • If your company has a Designated Medical Provider (DMP)
    • You are required to see the company’s DMP for medical care
    • Unless you have previously informed the employer, in writing, of a different medical provider selection before any injury occurred you must see the DMP
    • You may request to change providers with WSI after 30 days of treatment by the DMP
  • If your company does not have a DMP
    • You may seek treatment from the medical provider of your choice

Changing Doctors

If your doctor refers you to another doctor for consultation or treatment, you do not need written authorization from WSI unless you are referred out of your community. However, if you wish to change to a different doctor, please review the following steps:

  • If your employer has a DMP you are required to see the company’s DMP for medical care unless you have previously informed your employer, in writing, of a different medical provider selection before any injury occurred. If you see your company’s DMP, you may request to change providers from WSI, after 30 days of treatment by the DMP.

    Please contact WSI to request a Change of Doctor form (C6).  Complete the Change of Doctor form (C6) and mail it to WSI. Once a decision has been made we will notify you, and both doctors of the decision. It is your responsibility to inform your employer of your new medical provider.
     

  • If your employer does not have a DMP you must request written authorization from WSI. Please contact WSI to request a Change of Doctor form (C6).  Complete the Change of Doctor form (C6) and mail it to WSI. We will make a decision on your request and we will notify you, and both doctors of the decision. Please contact WSI to request a Change of Doctor form (C6).

WSI will monitor your medical treatment to make sure you are receiving quality and appropriate medical care for your injury. When warranted, WSI may require you to change doctors or transfer care.