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Form WC197 Request for Change of Physician - Colorado
What Is Form WC197?
This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form WC197?A: Form WC197 is the Request for Change of Physician form in Colorado.
Q: Who can use Form WC197?A: This form can be used by injured workers in Colorado who want to switch their treating physician for their workers' compensation claim.
Q: How do I fill out Form WC197?A: You need to provide your personal information, details of your current physician, and the reason for the request for change of physician.
Q: Is there a deadline to submit Form WC197?A: Yes, you must submit Form WC197 within 90 days of your knowledge of the Division's denial of your request for change of physician.
Q: What happens after I submit Form WC197?A: The Division will review your request and may approve or deny the change of physician. You will be notified of the decision in writing.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the Colorado Department of Labor and Employment;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form WC197 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.
