医疗服务提供者

T. Boone
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引用次数: 6

摘要

如何填写此表格步骤1:请填写此表格的第一部分,并将其提交给您的医疗保健提供者以完成第二部分。步骤2:您或您的医疗保健提供者必须在您返回工作岗位之前,通过电子邮件benefits@gwu.edu或传真(571)553-8385将填妥并签署的表格返回给GW Benefits。如果没有及时收到复工许可,您的复工可能会被推迟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare Provider
How to Complete This Form Step 1: Please complete the first section of this form and submit to your healthcare provider for completion of the second section. Step 2: Either you or your healthcare provider must return the completed and signed form to GW Benefits via email at benefits@gwu.edu or fax at (571) 553-8385 prior to your return to work. If a return to work authorization is not received in a timely fashion, your return to work may be delayed.
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