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When an injured employee requests an employer to secure certification of a consulting physician under Labor Code Section 4602, the employer shall direct a letter in triplicate to the Division of Industrial Accidents, attention Medical Director, 525 Golden Gate Avenue, Room 201, San Francisco, California 94102, containing the following information:
(a) The name and address of the injured employee;
(b) The name and address of the consulting physician chosen;
(c) The field of practice of the consulting physician.
NOTE: Authority cited: Sections 124, 127, 133, 138.2, 138.3, 138.4, 139, 139.5, 139.6, 4600, 4601, 4602, 4603, 4603.2, 4603.5, 5307.3, 5450, 5451, 5452, 5453, 5454, and 5455, Labor Code. Reference: Chapters 442, 709, and 1172, Statutes of 1977; Chapter 1017, Statutes of 1976.
1. Amendment filed 11-7-78; effective thirtieth day thereafter (Register 78, No. 45).
2. Change without regulatory effect filed 7-11-86; effective upon filing (Register 86, No. 28).
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