Form WC003 Notice of One-Time Change of Physician & Authorization for Release of Medical Information - Colorado

Form WC003 Notice of One-Time Change of Physician & Authorization for Release of Medical Information - Colorado

What Is Form WC003?

This is a legal form that was released by the Colorado Department of Labor and Employment - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC003?
A: Form WC003 is the Notice of One-Time Change of Physician & Authorization for Release of Medical Information form.

Q: What is the purpose of Form WC003?
A: The purpose of Form WC003 is to request a one-time change of physician and authorize the release of medical information in the state of Colorado.

Q: Can I request a one-time change of physician using Form WC003?
A: Yes, you can request a one-time change of physician using Form WC003.

Q: Do I need to provide authorization for the release of medical information with Form WC003?
A: Yes, you need to provide authorization for the release of medical information with Form WC003.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC003 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

Download Form WC003 Notice of One-Time Change of Physician & Authorization for Release of Medical Information - Colorado

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