Worker's Compensation Letter Generator

Worker's Compensation Letter Generator

After you have copied the text onto the Letterhead, have the provider sign the form, stamp the document, and scan it into UrgentIQ under the documents section.  Please remember to email the form to the following people : 

 

Jtheorgood@upperdarby.org  

Cindy_caslin@ajg.com 

Mmoran@Pcu.care 


Below are helpful PDF documents if needed. (it is easier to use the link above for the google document letterhead to copy and paste the work note letter.  Additionally, there are templated versions of this available in UrgentIQ in the forms section. 

Letterhead Pdf
PDF – 73.2 KB 12 downloads