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Form For Pharmacy Regarding Workers' Compensation Prescriptions

TEMPCARD 8.2008 Temporary Prescription Services ID NOTE: Due to liability regulations, do not issue this Temporary Prescription Services ID form to employer locations or employees located in OH. The...

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A physician's form for the transitional work therapy program

This is a PDF of a form for physicians to fill out describing the work an employee in the transitional work therapy program with a back injury is able to perform. Download PDF

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A physician's form for the transitional work therapy program

This is a form for physicians to fill out for employees with a lower extremity injury are able to perform in the transitional work therapy program. Download PDF

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A physician's form for the transitional work therapy program

This is a form for physicians to fill out for employees with an upper extremity injury describing the work they are able to perform in the transitional work therapy program. Download PDF

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A physician's form for the transitional work therapy program

This is a form for physicians describing the work an  employee with multiple body part injuries is able to perform in the transitional work therapy program. Download PDF

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