If the employee is unable to return to work, the Human Resources Department will consider the case for referral to a third party administrator for rehabilitative case management. Ongoing medical care for the injured employee will be coordinated by the Human Resources department and the designated Case Manager until the employee is released to return to work. This form must bereturned to the employer the same day of treatment. Supervisor directs employee to first aid or in-house treatment only. No authorization needed.
Supervisor directs employee to approved medical provider.
Employee Physician releases employee Physician releases to full out of work, TTD. with restrictions.