c 4 form
Health Care Providers Workers' Compensation Forms
This form is filed within 48 hours of first treatment. To report continued treatment, use Form C-4.2. To report permanent impairment use Form C-4.3. C-4.1 ...
Learn more
Printing T C)(S C4 - UserManual.wiki
C-4 Doctor's Initial Report Use this form to report the first time you treated the patient. (To report continued treatment, use Form C-4.2.
Learn more
Workers' Compensation Claims Forms - Las Vegas - UNLV
Complete the C-1 form and the Supervisor's Injury/Illness/Incident Report ... Form C-4 – Employee's Claim for Compensation/Report Of Initial Treatment.
Learn more