SouthWest Medical Provider Network

Acknowledgement

 

If I am hurt on the job, and live in the service area, described in this information, I understand that:
  1. I must choose a treating doctor from the list of doctors in the network. Or, I may ask my primary care physician if they are a participating provider in the network and would agree to serve as my treating doctor

  2. I must go to my treating doctor for all health care for my injury. If I need a specialist, my treating doctor will refer me.  If I need emergency care, I may go anywhere.

  3. The Employer/Carrier will pay the treating doctor and other network providers.

  4. I might have to pay the bill, if I get health care from someone other than a network doctor, without network approval.

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