DOCTOR'S INITIAL REPORT C-4

Doctor's Initial Report C-4 Manuals & Documents

WCB Case # (if known): Doctor's Initial Report Use this form to report the first time you treated the patient. (To report continued treatment, use Form C-4.2.

  • File Name: c4.pdf
  • Published:
  • Source: www.wcb.ny.gov
  • File Type: pdf
  • File Size: 2,165 KB

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