Workers' Compensation

Primary Care Facilities for Work-Related Injuries

The following primary care facilities are for work-related injuries:

Related Documents

  1. Workers Compensation Manual (PDF)
  2. Employer Facts (PDF)
  3. Employee Facts Brochure (English) PDF
  4. Employee Facts Brochure (Spanish) PDF
  5. DWC-25 FORM (PDF)
  6. First Report of Injury(PDF)
  7. No Medical Treatment Needed (PDF)
  8. Workers Compensation Benefits 70-66 (PDF)
  9. Authorization for Use or Disclosure of Protected Health Information (PDF)
  10. Workers' Compensation Witness Statement Form (PDF)
  11. Accident Incident Report Supervisor Comments Form (PDF)
  12. Workers Compensation Medical Authorization regular employee (PDF)
  13. Workers Compensation Medical Authorization Fire Department (PDF)
  14. Employee Injury Prescription Form (PDF)
  15. Contact Information Original (PDF)
  16. Workers Compensation Employee Manual (English) (PDF)
  17. Workers Compensation Employee Manual (Spanish) (PDF)
  18. Hialeah Administrative Policies and Procedures Drug Free Policy (PDF)
  19. Employee Injury Packet (PDF)
  20. Employee No Medical Injury Package (PDF)
  21. Employee Injury Report (Complete by Employee) (PDF)
  22. First Responder Package (PDF)
  23. Physicians Health Center Map (PDF)
  24. After-Hours Protocol - English (PDF)
  25. After-Hours Protocol - Spanish (PDF)
  26. 2016 City of Hialeah Opt-Out (PDF)
  27. Administrative Directive - Use of Primary Care Facilities (PDF)
  28. Workers Compensation Medical Autorization Regular Employee (PDF)
  29. Workers Compensation Medical Autorization Fire Department (PDF)
  30. Request for short term disability final (PDF)
  31. Employee Injury Report (Complete by Employee) (PDF)
  32. Employee Injury Packet Prescription (PDF)
  33. Employee Accident Refuses Medical Treatment (PDF)
  34. Pharmacy Services FAQs (PDF)
  35. Sworn Firefighters Injury Packet (PDF)
  36. Workers' Compensation Intake Form (PDF)