InterAid Triage | 1-800-367-5020 |
InterAid Triage Flow Chart | |
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Medical Network Provider Information and Forms: |
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Occupational Injury or Illness Report (Form 5020): |
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DWC-1: |
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First Aid: |
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Cal-OSHA 300 Record Keeping Forms: |
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Return to Work Program: |
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WorkSteps Program: |
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Member Forms: |
Medical Referral/Work Status/Restrictions
Notice to Medical Provider Predesignation Form Employee Injury/Illness Release Form Supervisor Accident Investigation Form |