Contact Us Regarding Workers’ Compensation and/or Exer Plus

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For your protection, do not use this form to send any Personal Health Information (PHI).

To simplify registration and billing, please send your injured employee to any of our facilities (walk-ins welcome) along with either the Workers’ Compensation Treatment Authorization form or State of California DWC-1 form.
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Exer Ugent Care offers advanced care for everyday emergencies