Common Contracts
1 similar Rehabilitation Agreement contracts
Statement of Interest in Rehabilitation ServicesRehabilitation Agreement • November 15th, 2023
As an injured worker, I wish to be considered for vocational 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 professional.
