If you are seeking to receive services from us due to a work related injury and have workers compensation please print the “Workers Compensation Information Form” and fill out all information.

When you come for your evaluation please bring this document to your appointment.

With this information it will allow us to get services approved by your workers compensation company as quickly as possible.

Do not hesitate to contact our office with further questions at 651-291-9000.

 

Workers Compensation Information Form

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