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Workers' Compensation

SDRMA Contracting to CorVel Kaiser Select Medical Provider Network (MPN)
Effective 3/1/2025

SDRMA has contracted to direct injured employees to a registered Medical Provider Network (MPN) to treat work-related injuries. SDRMA’s MPN Administrator, CorVel Kaiser Select (effective 3/1/2025), is a network of physicians, clinics, and other medical professionals who have agreed to accept workers’ compensation patients and to report medical findings and treatment plans as required by the California Labor Code. They are also required to maintain the registration of the MPN program participants for the California Department of Industrial Relations (DIR).

Effective March 1, 2025, SDRMA transitioned from Company Nurse to the 24/7 Nurse Hotline for triage and claim reporting. To report an injury, please contact the 24/7 Nurse Hotline at 844.391.8071, and all completed forms should be submitted to administration@cambriacsd.org.

SDRMA's 24/7 Work Injury Nurse Line info: Call (844) 391-8071 for help after a workplace injury. For emergencies, call 911.
24/7 Nurse Hotline PosterImportant Information about Medical Care If You Have a Work-Related Injury or IllnessFacts about Workers' CompensationDWC-7 Notice to Employees Workers' Compensation Fraud is a Crime Flyer
Reporting a Work-Related Injury

In the event of a work-related injury or illness, employees should immediately report the injury to their supervisor and complete the required forms.

The employee must do the following within 24 hours of a work-related injury or illness:

  1. Notify their supervisor immediately following work-related injury/illness.
  2. Call the 24/7 Nurse Hotline at 844.391.8071.
  3. Complete the employee portion of the Workers' Compensation Form DWC 1 Form (see below).
  4. Return the completed form to their supervisor.
  5. Contact administration@cambriacsd.org for an appointment with Med Stop in San Luis Obispo.

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

  1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
  2. The General Manager will complete the employer portion of the Workers' Compensation Form DWC 1 Form.
  3. Complete the Supervisor Incident Report Form (see below).
  4. Return all completed forms to administration@cambriacsd.org.
Declining First Aid Injury Treatment

If a work-related injury or illness occurs and the injured employee has declined medical treatment, the employee and supervisor must follow the instructions below.

The employee must do the following within 24 hours of a work-related injury or illness:

  1. Call the 24/7 Nurse Hotline at 844.391.8071.
  2. Complete the employee portion of the Workers' Compensation Form DWC 1 Form (see below)
  3. Complete the employee portion of the Declination of Medical Treatment Form (if the employee does not need or request medical treatment; see below).
  4. Complete the supervisor portion of the Declination of Medical Treatment Form.
  5. Complete the employee portion of the Declination of Medical Treatment Incident Report Form (this form should be completed only if the employee does not need or request medical treatment).

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

  1. Notify administration@cambriacsd.org  immediately following work-related injury/illness.
  2. The General Manager will complete of the Declination of Medical Treatment Form.
  3. The General Manager will complete of the Declination of Medical Treatment Incident Report Form.
  4. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
  5. Complete the Supervisor Incident Report Form.
  6. Return all completed forms to administration@cambriacsd.org.
First Aid Injury with Treatment

If a work-related injury or illness occurs and the injured employee has requested medical treatment, follow all instructions prior to medical treatment. 

The employee or their representative must do the following within 24 hours of a work-related injury or illness:

  1. Call the 24/7 Nurse Hotline at 844.391.8071.
  2. Complete the employee portion of the Workers' Compensation Form DWC 1 Form.

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

  1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
  2. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
  3. Complete the Supervisor Incident Report Form.
  4. Return all completed forms to administration@cambriacsd.org.
Major Injury/Illness with Treatment

In the event of a work-related injury/illness and the injured employee has requested medical treatment, follow all instructions prior to medical treatment. 

The employee or their representative must do the following within 24 hours of a work-related injury or illness:

  1. Call the 24/7 Nurse Hotline at 844.391.8071.
  2. Complete the employee portion of the Workers' Compensation Form DWC 1 Form (see below).

The supervisor must do the following within 24 hours of employer knowledge of an employee injury or illness:

  1. Notify administration@cambriacsd.org immediately following work-related injury/illness.
  2. The General Manager will complete of the Workers' Compensation Form DWC 1 Form.
  3. Complete the Supervisor Incident Report Form.
  4. Return all completed forms to administration@cambriacsd.org.
Forms
Return all completed forms to administration@cambriacsd.org.
Workers' Compensation Form DWC 1 FormSupervisor Incident Report FormEmployee Incident Report FormDeclining Treatment - Injury ChecklistDeclination of Medical Treatment Incident Report Form
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