Common use of Employee Reporting Requirements Clause in Contracts

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: ▪ Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) ▪ Concentra, 11877 E. Arapahoe Rd. Suite 100, Centennial, CO (303-792-7368) ▪ Care Now, 0000 X. Xxxxxx Road, Aurora, CO (720-446-5893) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

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Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care Now Concentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720000- 000-446-58930000) Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720-748-7072) U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-792- 7368) Care Now, 0000 X. Xxxxxx Road, Aurora, CO (720-446-5893) Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720303-748280-70722882)  Concentra – formerly U.S. Health Works Medical GroupHealthworks, 000 0000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: ▪ Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) ▪ Concentra, 11877 E. Arapahoe Rd. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care NowConcentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720000- 000-446-58930000) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: ƒ Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) ƒ Concentra, 11877 E. Arapahoe Rd. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care Nowƒ Concentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720000- 000-446-58930000) ƒ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720-748-7072) ƒ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician. ‡After Hours Care: In the event medical treatment is required for a work related injury after the office hours of the designated clinics or on a weekend, the employee should go to the Emergency Room at Centennial Healthcare Plaza, 00000 Xxxx Xxxxxxxx Xxxx, Xxxxxxxxxx, XX (303-699-3000). • If an employee wishes to be treated by a physician other than those approved, they do so at their own expense. Lost Time • Any time off from work due to a work related injury must be authorized by a designated physician. • In accordance with the Colorado Workers’ Compensation Statute, an injured employee must be absent from work for three days before Workers’ Compensation Wage Benefits begin. Employees may use up to three days of their accumulated sick leave for the first three days of absence due to a work related injury, and thereafter, receive Statutory Workers’ Compensation Benefits which is 2/3 of the employee’s average weekly wage, subject to a maximum figure, which is established and adjusted each year by statute. • The injured employee must return a copy of the doctor’s report to their supervisor after each doctor’s visit. This report will give the prognosis and the date the employee must return for follow-up visits. • It is the duty and the responsibility of the injured employee to keep his/her supervisor advised of their return to work status.

Appears in 1 contract

Samples: Custodial, Maintenance

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care Now Concentra, 0000 X. Xxxxxx RoadXxxxxxxxx, Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (000- 000-0000)  OnPoint, 00000 X. Xxxxx Xxxx Xx, Aurora, CO (720303-446330-58930410) Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741280-11662882) Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Mental Health Employees

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work work- related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-7368) ▪ Care Now Concentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720303-446-5893741- 1166) Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care Now, 0000 X. Xxxxxx Road, Aurora, CO (720-446-5893) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720303-748280-70722882)  Concentra – formerly U.S. Health Works Medical GroupHealthworks, 000 0000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.. • After Hours Care: In the event medical treatment is required for a work related injury after the office hours of the designated clinics or on a weekend, the employee should go to the Emergency Room at Centennial Healthcare Plaza, 00000 Xxxx Xxxxxxxx Xxxx, Xxxxxxxxxx, XX (303-699-3000). • If an employee wishes to be treated by a physician other than those approved, they do so at their own expense. Lost Time • Any time off from work due to a work related injury must be authorized by a designated physician. • In accordance with the Colorado Workers’ Compensation Statute, an injured employee must be absent from work for three days before Workers’ Compensation Wage Benefits begin. Employees may use up to three days of their accumulated sick leave for the first three days of absence due to a work related injury, and thereafter, receive Statutory Workers’ Compensation Benefits which is 2/3 of the employee’s average weekly wage, subject to a maximum figure, which is established and adjusted each year by statute. • The injured employee must return a copy of the doctor’s report to their supervisor after each doctor’s visit. This report will give the prognosis and the date the employee must return for follow-up visits. • It is the duty and the responsibility of the injured employee to keep his/her supervisor advised of their return to work status. Medical Treatment

Appears in 1 contract

Samples: Negotiated Agreement

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Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work work- related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: ▪ Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) ▪ Concentra, 11877 E. Arapahoe Rd. Suite 100, Centennial, CO (303-792-7368) ▪ Care NowConcentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720303-446-5893741- 1166) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work work- related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-7368) ▪ Care Now Concentra, 0000 X. Xxxxxx RoadXxxxxxxxx, AuroraXxxxx 000X, CO Xxxxxxxxx Xxxxxxx, XX (720303-446-5893741- 1166) Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO (720-748-7072) ▪ U.S. Health Works Medical Group, 000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: ▪ Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) ▪ Concentra, 11877 E. Arapahoe Rd. Suite 100, Centennial, CO (303-792-792- 7368) ▪ Care Now, 0000 X. Xxxxxx Road, Aurora, CO (720-446-5893) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720303-748280-70722882) ▪ Concentra – formerly U.S. Health Works Medical GroupHealthworks, 000 0000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) ▪ Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.. • After Hours Care: In the event medical treatment is required for a work related injury after the office hours of the designated clinics or on a weekend, the employee should go to the Emergency Room at Centennial Healthcare Plaza, 00000 Xxxx Xxxxxxxx Xxxx, Xxxxxxxxxx, XX (303-699-3000). • If an employee wishes to be treated by a physician other than those approved, they do so at their own expense. Lost Time • Any time off from work due to a work related injury must be authorized by a designated physician. • In accordance with the Colorado Workers’ Compensation Statute, an injured employee must be absent from work for three days before Workers’ Compensation Wage Benefits begin. Employees may use up to three days of their accumulated sick leave for the first three days of absence due to a work related injury, and thereafter, receive Statutory Workers’ Compensation Benefits which is 2/3 of the employee’s average weekly wage, subject to a maximum figure, which is established and adjusted each year by statute. • The injured employee must return a copy of the doctor’s report to their supervisor after each doctor’s visit. This report will give the prognosis and the date the employee must return for follow-up visits. • It is the duty and the responsibility of the injured employee to keep his/her supervisor advised of their return to work status. Medical Treatment

Appears in 1 contract

Samples: Negotiated Agreement

Employee Reporting Requirements. Injured employees must notify their supervisor within 48 hours after a work related injury. Written notice must be given by the injured employee to the Risk Management Department within four working days after the accident. The injured employee will assist the supervisor in completion of the First Report of Injury form. Medical Treatment Section CRS 8-404(5) of the Colorado Workers’ Compensation Act allows the employer to select the physician(s) who treat injured employees. The injured employee will be examined by the nearest District nurse, providing a nurse is available. If further medical treatment is required, the District nurse or supervisor will issue the injured employee an Authorization Form for medical treatment at the District’s designated medical providers: Concentra, 00000 X. Xxxxx Ave, Aurora, CO (303-755-4955) Concentra, 11877 E. Arapahoe Rd00000 X. Xxxxxxxx Xx. Suite 100, Centennial, CO (303-792-7368303- 7927368) ▪ Care Now, 0000 X. Xxxxxx Road, Aurora, CO (720-446-5893) ▪ Rocky Mountain Medical Group, 00000 X. Xxxxxxxxxxx Xxx., Xxxxx 000, Xxxxxx, CO XX (720303-748280-70722882)  Concentra – formerly U.S. Health Works Medical GroupHealthworks, 000 0000 X. Xxxxxxxxx , Xxxxx 000X, Xxxxxxxxx Xxxxxxx, XX (303-741-1166) Workwell Occupational Medicine, 0000 X. Xxxxxx, Road, Suite 150, Aurora, CO (720-512-4408) PERFORMED ACTION: BY: • The employee, after treatment, will return the Medical Status Report issued by the designated provider to their supervisor and assist in the completion of the First Report of Injury form. • Emergency Care: In the event of a life or limb threatening situation, treatment should be sought from the nearest medical facility. However, the designated provider must be contacted and follow-up care must be directed by the designated physician.. • After Hours Care: In the event medical treatment is required for a work related injury after the office hours of the designated clinics or on a weekend, the employee should go to the Emergency Room at Centennial Healthcare Plaza, 00000 Xxxx Xxxxxxxx Xxxx, Xxxxxxxxxx, XX (303-699-3000). • If an employee wishes to be treated by a physician other than those approved, they do so at their own expense. Lost Time • Any time off from work due to a work related injury must be authorized by a designated physician. • In accordance with the Colorado Workers’ Compensation Statute, an injured employee must be absent from work for three days before Workers’ Compensation Wage Benefits begin. Employees may use up to three days of their accumulated sick leave for the first three days of absence due to a work related injury, and thereafter, receive Statutory Workers’ Compensation Benefits which is 2/3 of the employee’s average weekly wage, subject to a maximum figure, which is established and adjusted each year by statute. • The injured employee must return a copy of the doctor’s report to their supervisor after each doctor’s visit. This report will give the prognosis and the date the employee must return for follow-up visits. • It is the duty and the responsibility of the injured employee to keep his/her supervisor advised of their return to work status. • Medical Treatment

Appears in 1 contract

Samples: Negotiated Agreement

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