WORKERS’ COMPENSATION
Steven Salvati,
Director of Risk Management
Workers’ Comp Technician: Annette Davies, adavies@powayusd.com
Workers’ Comp Desk: (858) 521- 2852
FAX: 858-485-1355
We are committed to treating you with respect and courtesy while providing the highest quality of service.
Pre-designate a personal physician
WHAT TO DO WHEN AN INJURY OCCURS?
Print Version
A safe working environment is our number one priority. However, should an accident or injury occur we want to ensure that our employees receive prompt effective medical treatment.
- What should I do if I am injured on the job?
- Immediately notify your supervisor and report the injury. Report the injury even if you are not seeking treatment at this time.
- Fill out the Employee Injury Notice your supervisor will provide.
- If medical treatment is needed, you will be directed to an MPN provider, unless appropriate pre-designation is on file. You will be given a Treatment Referral Form giving authorization of treatment.
- Employer/Supervisor will provide DWC-1 form
- Employee is given copy of the “Covered Employee Notification of Rights Material” pamphlet. Click here to download a copy of the “Covered Employee Notification of Rights Material-Spanish” pamphlet in Spanish.
- Employer/Supervisor will go over the Supervisor’s Report with employee.
- If I am injured on the job and my supervisor is not available?
- Report injury immediately to your site Workers' Comp Representative or Annette Davies, Workers' Comp Tech at the District Office at (858) 521-2852. (Monday – Friday 7:30 a.m. – 4:30 p.m.)
- If it is not an emergency, report to your supervisor as soon as possible.
| If you need medical treatment go to: | ||
| Sharp -- Rees Stealy 16950 Via Tazon San Diego, CA 92127 (858) 521-2350 Occupational Health Services:
Directions to Rancho Bernardo Sharp: |
OR | Palomar Pomerado Corporate Health Services: (Fifth floor of the Pomerado Outpatient Pavilion adjacent to Pomerado Hospital.) 15611 Pomerado Rd. Suite 525 Poway, Ca 92064 (858) 613-6280 Occupational Health Services Hours: 7:00 a.m. – 7:00 p.m. (Mon. – Fri.) (NO WEEK-END HOURS) Directions to Palomar Pomerado Corporate Health Services: From Highway 15 take the Camino Del Norte Exit. Go east on Camino Del Norte. Left on Pomerado. |
| If it is an EMERGENCY CALL 911 Once your condition is stable, contact your supervisor. Emergency only: Pomerado Hospital, 15615 Pomerado Road, Poway, CA 92064, (858) 485-6511 |
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Pre-designate a personal physician
Included in your choice to pre-designate a personal physician, you can now pre-designate a medical group.
You have the right to be treated immediately by your personal physician, (M.D., D.O.) if you notify your employer, in writing, prior to the injury. To qualify as your pre-designated personal physician, the physician must agree, in writing, to treat you for a work related injury, must have previously directed your medical care and must retain your medical history and records. Your pre-designated physician must be a family practitioner, general practitioner, board certified or board eligible internist, obstetrician-gynecologist, pediatrician or multi-specialty medical group whose practice is predominantly for non-occupational injuries or illnesses.
Employees can pre-designate a medical group as long as the medical group serves as your primary “personal physician”. The medical group must be composed of MD’s and DO’s (no chiropractors) and be a multi-specialty medical group providing predominantly non-occupational medical treatment. (This would include Kaiser)
Click to download a Pre-designation of Personal Physician form.