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 California Code of Regulations (Last Updated: August 6, 2014)
 Title 8. Industrial Relations
 Division 1. Department of Industrial Relations
 Chapter 4.5. Division of Workers' Compensation
 Subchapter 1. Administrative Director -Administrative Rules
 Article 5. Predesignation of Personal Physician; Request for Change of Physician; Reporting Duties of the Primary Treating Physician; Petition for Change of Primary Treating Physician

  § 9785.4. Form PR-4 ‘‘Primary Treating Physician's Permanent and Stationary Report.”  

Latest version.
  • STATE OF CALIFORNIA DIVISION OF WORKERS' COMPENSATION PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT (PR-4)
    Image 1 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 2 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 3 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 4 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 5 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 6 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
    Image 7 within § 9785.4. Form PR-4 “Primary Treating Physician's Permanent and Stationary Report.”​
HISTORY
1. New section filed 12-31-2004 as an emergency; operative 1-1-2005 (Register 2004, No. 53). A Certificate of Compliance must be transmitted to OAL by 5-2-2005 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-31-2004 order, including amendment of section, transmitted to OAL 4-29-2005 and filed 6-10-2005 (Register 2005, No. 23).

Note

Note: Authority cited: Sections 133 and 5307.3, Labor Code. Reference: Sections 4600, 4061.5, 4603.2, 4636, 4660, 4662, 4663 and 4664, Labor Code.