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To find a medical provider for your injured employee, click on the applicable state.

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The information and forms presented on this website are intended for general reference only. We do not warrant, represent, or guarantee in any way the lawfulness of this information in your jurisdiction. Please consult your attorney before providing forms to prospective employees or current employees, and before amending your company policy. All liability for any actual or alleged loss, damage, or injury arising out of or resulting in any way from the use of this information is expressly disclaimed.