Medical Treatment Provider List Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Medical Treatment Provider List Form. This is a Utah form and can be use in Workers Compensation.
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Tags: Medical Treatment Provider List, 307, Utah Workers Compensation,
___________________ 160 East 300 South * P.O. Box 146610 * Salt Lake City, UT 84114-6610 * Telephone: (801) 530-6800 Fax: (801) 530-6804 * Toll Free: (800) 530-5090 * www.laborcommission.utah.gov American LegalNet, Inc. www.FormsWorkFlow.com