Common Contracts
1 similar Rehabilitation Agreement contracts
Statement of Interest in Rehabilitation ServicesRehabilitation Agreement • August 26th, 2009
As an injured worker, I wish to be considered for return-to-work rehabilitation services. I understand the determination of feasibility for services may involve medical, psychological and/or vocational evaluation(s) to establish my rehabilitation readiness. To verify feasibility and to develop an authorized rehabilitation plan, I may need to consult with my physician, employer of record, attorney and/or other professionals.
