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Workers Compensation
Authorization for Treatment

Please fill out the following form by clicking here.
You may either bring the form with you to your next appointment or fax it to our office at (478) 751-2979.

124 Third Street • Macon, Georgia
(478) 751-2900
NAOHP
 
Macon Chamber of Commerce
 
Datia Accredited
 
Better Business Bureau
 
Best in Business Award
 
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Macon Occupational Medicine • 124 Third Street • Macon, Georgia 31201 • phone: 478-751-2900 • fax: 478-751-2979
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