After receiving a report of a workplace injury, what information should be given to the injured employee?
Upon the report of a workplace injury, an employer should provide the employee, in writing, a choice of three physicians not associated together in practice. An Agreement Between Employer/Employee Choice of Physician (Form C-42) must be completed, a copy given to the employee, and the original kept on file with the employer. In the event of a reported back injury, the choice of physicians is expanded to four names, one of whom must be a chiropractor. The physicians listed should be located in or near the employee’s community of residence. The employee has the privilege of choosing a physician from the list. The one selected becomes the “treating physician.” The employee is then required to accept treatment from the treating physician and should not seek treatment from any other medical provider unless the treating physician makes a referral.