DWC's emergency spinal surgery second opinion procedure regulations, filed with OAL on June 23, 2004, are in effect as of July 2, 2004. The regulations can be found on the DWC web site at http://www.dir.ca.gov/dwc/dwcpropregs/SpinalEmerReg.htm. The regulations are effective for 120 days while the division conducts a formal rulemaking to adopt permanent regulations.
DWC Form 233, ("Objection to Treating Physician's Recommendation for Spinal Surgery") is to be used for all objections to spinal surgery. A downloadable version of the form can found at the page linked above. It should be filed with the Administrative Director, Division of Workers' Compensation, P.O. Box 8888, San Francisco, CA 94128. The use of any other address will delay the form in reaching the proper DWC personnel.