6.18.19 – Predesignation of Personal Physician CA Based Flight Attendants Only

Tuesday, June 18, 2019

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For California Based Flight Attendants Only
PREDESIGNATION OF PERSONAL PHYSICIAN

In the event you sustain an injury or illness related to your employment, you may be treated for such injury or illness by your personal medical doctor (M.D.), doctor of osteopathic medicine (D.O.) or medical group if:

  • On the date of your work injury you have health care coverage for injuries or illnesses that are not work related;
  • The doctor is your regular physician, who shall be either a physician who has limited his or her practice of medicine to general practice or who is a board-certified or board-eligible internist, pediatrician, obstetrician-gynecologist, or family practitioner, and has previously directed your medical treatment, and retains your medical records;
  • Your “personal physician” may be a medical group if it is a single corporation or partnership composed of licensed doctors of medicine or osteopathy, which operates an integrated multi-specialty medical group providing comprehensive medical services predominantly for nonoccupational illnesses and injuries;
  • Prior to the injury your doctor agrees to treat you for work injuries or illnesses;
  • Prior to the injury you provided your employer the following in writing: (1) notice that you want your personal doctor to treat you for a work-related injury or illness, and (2) your personal doctor’s name and business address.

Ask your FSM for DWC Form 9783 (7/2014) if you would like to have a predesignated doctor on record. For those of you that have a predesignated a doctor, this is would be a good time to update your doctor on record.

In Unity,

Bellia Peckson
APFA National Injury on Duty Chair
iod@apfa.org

1004 West Euless Boulevard
Euless, Texas 76040

Phone: (817) 540-0108
Fax: (817) 540-2077

 

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