Notice to all employees

NOTICE TO ALL EMPLOYEES
Remember, it is important to tell your employer about your injury.
If you are injured while at work, your employer has arranged for the payment of your Workers’ Compensation benefits. It is your responsibility to immediately report the injury to your supervisor.
In accordance with the Pennsylvania Workers’ Compensation Act, you must choose a physician or other healthcare provider from the list below:

IN CASE OF WORK-RELATED INJURY OR DISEASE

If you suffer a work-related injury, your Workers’ Compensation carrier will pay for reasonable surgical and medical services, medicines, supplies, orthopedic appliances and prostheses, including training in their use. In order to ensure that your medical treatment will be paid for, you must select from one of the physicians or other healthcare providers listed below.

Occupational Medicine	Reading Hospital & Medical Center Occupational Medicine Dept	Two Locations: 5^th Avenue, West Reading, PA 19611 1000 Tuckerton Court, Reading, PA 19611	610-988-8437 610-988-4000
Occupational Medicine	US Healthworks	Commons Boulevard Reading, PA 19605	610-926-0960
Occupational Medicine	Corporate Regain	4^th & Walnut Streets Lebanon, PA 17042	717-270-2216
Occupational Medicine & Physical Therapy	WorkNet (formerly NovaCare)	3212-B Kutztown Road Laureldale, PA 19605	610-921-9000
Ophthalmology/Eye	Eye Consultants of PA	One Granite Point Dr., Suite 250 Wyomissing, PA 19610	610-378-1344
Eye/Eye	Souders, Moll & Izzo Ophthalmic Assocs., Inc	560 Van Reed Road, Suite 102 Wyomissing, PA 19610-1799	610-372-0712
General Surgery	Reading Surgical Associates	2603 Keiser Boulevard, Suite 104 Wyomissing, PA  19610	610-372-3824
Neurology	JRCT Neurosurgical Associates	601 Spruce Street West Reading, PA 19611	610-375-4567
Neurology	Eric Holm, MD	606 Museum Road Reading, PA 19611	610-373-4007
Orthopedics & Physical Therapy	Orthopedic Associates of Reading	301 S. 7^th Avenue West Reading, PA 19611	610-376-8671
Orthopedics	Commonwealth Orthopedics	11 Fairlane Road, Reading, PA 19606	3 610-779-2663
Therapy	Reading Hospital & Medical Center Physical/Occupational Therapy Dept.	6^th Avenue & Spruce Street West Reading, PA 19611	610-988-8314 PT 610-988-8369 OT
Therapy	Reading-Berks Physical Therapy:	Several Locations: Wyomissing 610-372-0902 Morgantown 610-286-0462 Reading 610-921-0609 Bernville 610-488-7854 Fleetwood 610-944-7626 Hamburg 610-561-1700 Exeter 610-370-0070 Shillington 610-775-9077
Chiropractic	Wyomissing Chiropractic	904 Penn Avenue Wyomissing, PA 19610	610-374-7704
Ear, Nose & Throat Specialists	Berks ENT Surgical Associates, Inc.	1 Granite Point Drive, Suite 300 Wyomissing, PA 19610	610-376-9728

You must continue to visit one of these physicians or other healthcare providers listed above, if you need treatment, for 90 days from the date of your first visit. After this 90-day period, if you still need treatment, you may choose to go to another physician or other healthcare provider for treatment. If this situation should arise let your employer and your Claims Representative know within 5 days of the first visit.

All physicians and other healthcare providers must file report within 10 days after your first visit and at least once a month for as long as treatment continues in order for payment to be considered. If one of the physicians or other healthcare providers listed above refers you to another physician or healthcare provider your employer or his insurer will pay the reasonable bills for these services.
If you are faced with an immediate medical emergency, you may secure initial assistance from a hospital, physician or other healthcare provider of your choice. You must then seek subsequent treatment from a physician or other healthcare provider listed above for at least the first 90 days from the date of your first treatment. If one of the listed providers recommends invasive surgery, you are entitled to a second opinion from a physician of your choice. Should your physician’s opinion differ, and you choose that opinion, the panel physician will abide by same for 90 days.
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. Requests for additional information should be directed to: Risk and Safety Coordinator 610-478-6397.

Revised Feb2005