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NOTICE TO EMPLOYEES <br />Your employer has provided for the payment of Benefits under the Workers' <br />Compensation Act by insuring with: <br />�IG"UA R D <br />INSURANCE <br />GROUP <br />Wilkes-Barre, Pennsylvania <br />IN COOPERATION WITH PAYCHEX INSURANCE AGENCY <br />IN CASE OF WORK -RELATED INJURY <br />We have supplied a list of conveniently located medical practitioners that represent a range of specialties <br />typically required to treat workplace injuries and illnesses, As always our goal is to facilitate quality care and a <br />rapid return to work. <br />Occupational Orthopedic Medical Gro <br />12665 Garden Grove Blvd Ste 311 <br />(888)678-4609 <br />Orthopedics <br />GARDEN GROVE, CA 92843 <br />Mumtaz A Ali <br />12665 Garden Grove Blvd Ste 514 <br />(714)741-2929 <br />Neurology <br />Mumtaz AAll, MD <br />GARDEN GROVE, CA 92843 <br />Advanced Care Specialist Medical Cl <br />1125 E 17th St Ste N560 <br />(714)285-2878 <br />Physical Medicine <br />Ronald M Schilling, MD <br />SANTA ANA, CA 92701 <br />Phillip E Bally, MD <br />2121 S Towne Centre PI Ste 100 <br />(714)937-1919 <br />Occupational <br />ANAHEIM, CA 92806 <br />Medicine <br />Uci Clinical Practice Group <br />101 the City Dr S <br />(888)456-7002 <br />Internal Medicine <br />]ah"gir J Ahdoot,'MD <br />ORANGE, CA 92868 <br />Donald E Blttner, MD <br />101 the City Dr S # 10 <br />(714)456-7002 <br />Surgical Associates <br />ORANGE, CA 92868 <br />Martln C Tynan MD <br />101 the City Dr -S Bldg 29A <br />(714)456-7012 <br />Orthopedics <br />Martin C Tynan, MD <br />ORANGE, CA 92868 <br />All insurance company affiliates of GUARD Insurance Group feature toll -free claims reporting available 24 hours a <br />clay, seven days a week. By dialing 1-888-639-2567 immediately (only emergency care should come first), you <br />can ensure the fastest possible processing of your claim and can take full advantage of the assistance we are <br />able to offer. Other benefits include reduced paperwork on your part and instruction on the various steps which <br />Will occur during the balance of your case, <br />If you have any questions, give us a call at 1-800-673-2465. Our representatives are on hand to assist you. <br />Although you may elect to visit a practitioner not shown on this list, we urge you to consider the decision <br />carefully. <br />ALL INJURIES, NO MATTER HOW MINOR, SHOULD BE REPORTED <br />IMMEDIATELY TO YOUR SUPERVISOR. TOGETHER, CALL US AT 1-888-NEW-CLMS <br />AS SOON AS POSSIBLE! <br />Orange County Asian and Pacific Islander Community ORWC311495 <br />12900 GARDEN GROVE BLVD SUITE 214A <br />GARDEN GROVE, CA 92843 <br />GIG -FORM NO-ED-1/12-00 <br />