The Orthopedic & Sports Medicine Clinic of Dr. Previte
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Worker's Compensation Patient Paperwork:
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(**For Med-Legals, email completed form to appropriate email address listed on Workers Comp intake sheet.)
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​Fill out the questionnaire to your best of your ability.

[ALL correspondence including reports are being transmitted electronically due to the COVID-19. Your understanding is appreciated at this time]    


Worker's Comp Intake Sheet
File Size: 18 kb
File Type: doc
Download File

Worker's Comp Questionnaire
File Size: 219 kb
File Type: pub
Download File

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  • Home
  • Dr. William J. Previte
  • Curriculum Vitae
  • Office Locations
  • Worker's Comp Paperwork
  • Media
  • Contact Us