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Crisis Plan Template, Injured at Work

What to do if you are injured at work

If you are injured at work, follow these instructions to have your treatment covered by your company's Workers' Compensation program. It is important that you follow each instruction carefully to avoid any delays or reduction of your benefits.

Please read through these instructions carefully and discuss any questions with your supervisor. When the need arises to use medical services, you may not wish to spend time figuring out the procedure, and you might then make errors that could interfere with your benefits.

1. When you have a work-related illness or injury, report it to your supervisor immediately.

2. Your supervisor will give you an "Authorization for Treatment" form and will call ahead to [name medical facility] to alert them of your arrival.

3. Take your "Authorization for Treatment" form to the nearest [name medical facility] where your injury or illness will be attended to. The physician who sees you will coordinate your treatment as long as you need it.

4. If you have trouble getting to an appointment, immediately call both your supervisor and the HR department for assistance and let them know about the problem.

5. Each time you go back to the Treatment Center for an appointment, you will be given a "Work Status" form. This form tells your employer how your treatment is progressing and documents that you are receiving the proper treatment. Be sure you have your "Work Status" form. You cannot go back to work without it.

6. It is important that you give your "Work Status" form to your employer the same day as your appointment. Even if your appointment is at the end of the day, make every effort to get the form back to your employer before you go home.

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