Authorization for Examination and/or Treatment, Form CA-16

Authorization for Examination and/or Treatment, Form CA-16
Title:
Authorization for Examination and/or Treatment, Form CA-16
Agency Publisher: 
Format:
Tear Sheet(s)
USA Price: 
$31.50
$15.75
Display Foreign Price
Stock:
In stock
GPO Stock Number:
029-016-00219-7
ISBN:
0-16-075173-X
Description

Physician's authorization form for Medical Examination and/or Treatment for Workers' Compensation cases.

Form CA-16, Rev. Feb. 2005. Issued with perforations. Expires October 31, 2008. Includes form, instructions, and information for physician. Sold in packages of 100 copies only.

Audience

This form is for physicians and other medical personnel who examine and treat Workers' Compensation cases.

Product Details

Availability Details:
In Stock
USA Price:
$15.75
International Price:
$22.05
Publisher:
Labor Dept., Employment Standards Administration, Office of Workers' Compensation Programs
Notes:
Supersedes S/N 029-016-00181-6. NB1311
Key Phrases:
  • Form CA 16
  • Workers Compensation
  • Physical Examinations
Weight:
2
Quantity Price:
Discount
Subject Bibliography:
090MC 108BN
Unit of Issue (US):
100
Unit of Issue (Non-US):
1
Record Creation Date:
11/10/2005
Last Status Update:
12/13/2018
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