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Form CA-16 - Authorization for Examination / Medical
The supervisor shall immediately authorize examination and appropriate medical care by use of Form CA-16 to either a. United States medical officer/hospital
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work comp refusal of medical treatment or observation
I acknowledge that my supervisor(s), in good faith, have offered and made available to me an opportunity to seek necessary medical treatment and/or observation.
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Initial Authorization of Medical Care
When there is no time to complete Form CA-16, supervisor may authorize medical treatment by telephone and send completed form to medical facility within 48
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