Workplace Injuries & Workers Comp

• Have employee administer first aid to themselves if applicable

• File report online: https://www.chubb.com ---> Claims ----> Report a Claim ---> Workers Comp (we are corporate)

• *Call Practice Manager and Regional Manager to let them know we have a worker's comp claim and that you've already got the claim handled, if PM is not in office*

• OSHA Form 301 should be filled out for the incident. The form is located in the white binder on Amanda's book shelf titled "WORKER'S COMP" - 301 is under the tab for Form #4

• Ask employee if they would like medical treatment outside of this facility

• If they decline, at the bottom of the 301 form, write "staff member declined medical treatment"

• Have employee sign and date their 301 sheet at completion

• If the employee wants to be seen by a provider, they should go to one of the following places:

• MedLife Urgent Care (9am-7pm)

345 Huntington Place Court, Suite 200, McDonough

770-209-2787

• Caduceus Occupational Medicine (8am-5pm)

414 Highway 155 S, Suite 15, McDonough

678-902-0477

• Peachtree Immediate Care (8am-8pm)

840 Hwy 81 E, McDonough

678-960-8173

If using Peachtree Immediate Care, take the form at the end of this page in addition to the other two. 

• Additional providers can be found HERE 

• Recommended to make an appointment for the employee, or have them make it themselves, to save time.

• Bring the Prescription ID Card and the Workers Comp Packet linked below

• *Note - bring vaccine records of pet that caused injury if applicable

• See the Workers Comp Claim SOP for how to file a claim.