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Good Morning
4:37:30 AM CDT
Saturday, April 19, 2014

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Treating an Injured Worker

Topics ICD-9 Forms & Publications Medical Provider's Guide
Treating An Injured Worker Treatment Guidelines First Report of Injury (FROI) Form  
Claim Information Claim Number Lookup Capability Assessment form (C3)  
Medical Treatment Medical Provider Appeal Process Medical Services Dispute Resolution Request (M2)  
Subsequent Treatment   Provider Request for Adjustment (M6) form  

Medical Treatment
Treatment with more than one doctor is not allowed except in emergency situations or when the services require a consulting doctor, surgeon, or anesthetist. In this case, one doctor must be designated as the primary treating doctor. The primary treating doctor establishes the work restrictions. Note: “Doctor” means a licensed medical doctor, surgeon, chiropractor, osteopath, podiatrist, psychologist, dentist or optometrist.

If the doctor refers patients to another doctor, authorization from WSI is not needed; however, if the patient is choosing to seek treatment from a different doctor or wishes to change their primary treating doctor without obtaining a referral, they must complete and submit a Change of Doctor form to WSI for prior approval.

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