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VII-59

Maryland employees:

Medical providers can be selected by the injured

worker; however, if you need assistance in finding providers in your

area speak with the Business Office Manager or contact the workersÊ

compensation carrier. The community also has posted a list of local

medical providers who accept workersÊ compensation.

All employees who have an on-the-job injury that requires medical treatment

must undergo an immediate drug and alcohol screening test.

If you fail to report accidents and/or injuries promptly and/or refuse to use the

panel of physicians and services provided, the WorkersÊ Compensation carrier

may question and/or deny your claim.

ACCIDENTS AND INCIDENTS

If you are hurt on the job, no matter how slight the injury, please follow these

procedures:

1.

Report the injury to your supervisor immediately, do not wait until the

end of your shift.

2.

Complete an Incident Report, identify date/time of injury, position,

witness(es) to accident, etc. Completed forms are to be given promptly

to the Business Office Manager or the Executive Director.

3.

You must get prior approval from a supervisor or the Executive Director

for any medical treatment or examination for all work-related injuries. If

you fail to get prior approval, you may be held personally responsible for

the bill.

4.

You will be directed to submit to a drug and alcohol screening test,

regardless of severity, if you require medical treatment.

5.

Medical documentation will be required to be delivered to the

community, by you, after

every

visit to the physician. Keep your

supervisor informed as to the status of your injury.

6.

Should you lose work time of one or more days, you must have a signed

release from a physician in order to return to work.

7.

You may be requested to attend a conference with the Executive

Director and/or safety committee. If your injury was caused by your

failure to follow safety rules, you may be subject to discipline up to and

including dismissal.

You are expected to follow these instructions. Employees who fail to

immediately report a work-related injury or illness may jeopardize both their

own health and their eligibility for workersÊ compensation benefits. We

encourage you to

ask questions

regarding workersÊ compensation procedures,

eligibility, and benefits.