Under California Labor Code Section 4600, you have the right to predesignate your personal physician as the doctor who will treat you if you're injured on the job. If you don't predesignate, your employer's workers' compensation carrier gets to pick the doctor for the first 30 days.
This is one of the most important rights you have at work. The form takes five minutes to fill out, your doctor signs it, and you give a copy to your employer. Then if anything happens, your doctor sees you.
Eligibility requirements
- Your employer offers group health insurance
- The physician is your regular doctor and has agreed in advance to treat you for work injuries
- You give written notice to your employer before any injury
A closer look: how predesignation actually works
If you have predesignated your personal physician before an industrial injury, you can go directly to that doctor and continue treating with them instead of being sent to the employer’s industrial clinic. Without a predesignation form on file, your employer will refer you to their clinic.
Most employers have a Medical Provider Network (MPN), a list of approved doctors much like private insurance. These doctors are not “company doctors”, and they cover all specialties and geographic locations. If you have not predesignated a doctor, you may still choose a doctor from the MPN list at any time instead of continuing to treat with the industrial clinic. You do not have to wait 30 days.
Special cases
- Kaiser members: List one of the Kaiser doctors who has seen you before, or just list Kaiser and have your doctor or the administrator of the medical facility you regularly go to sign the form.
- If you only see a chiropractor: Fill out the predesignation form listing your chiropractor anyway. It may be accepted and you have nothing to lose.
- If your employer has no MPN: Your right to predesignate does not apply. Your employer can send you to their clinic and control your care for the first 30 days. After that, you can go to any doctor. If you refuse to go to the employer’s clinic during that 30-day window, you may not be entitled to workers’ compensation benefits during that period (though you can apply for State Disability benefits).
Detailed guidance adapted from a piece by Mark Leeds, Attorney at Law, originally published by Local 848.