4 NSU Florida Guidelines (Section A) _________________________________ Employer Responsibilities during a Non-Emergency 1. Contact Novalert at 954-262-8999 about the accident/injury. 2. Complete all pages of the injury document to include the First Report of Injury Form (DWC1), NSU Employee Statement Regarding Cause of Accident, CCMSI Authorization for Medical Records and Communication Release, and CCMSI False and Fraudulent Claim Warning. Forms may be downloaded at https://www.nova.edu/risk/forms/workers-comp.pdf. 3. Provide the injured worker with a copy of the fully executed forms (Case # will be provided once injury is reported to CCMSI). 4. Instruct the employee that he or she has the right to medical care. Assist the employee seeking care by calling NSU Employee Health to ensure availability at 954-262-1860, 954262-VIPS, or 954-262-4100. If NSU Employee Health cannot schedule with the employee or is closed, the individual should be sent to UrgentMed or Concentra based on their location. Other PCP offices must be approved by the NSU Workers’ Compensation Manager or insurance company. 5. Email all executed forms including the First Report of Injury Form, NSU Employee Statement Regarding Cause of Accident, CCMSI Authorization for Medical Records and Communication Release, and CCMSI False and Fraudulent Claim Warning to the Workers’ Compensation Manager at bcharmai@nova.edu. If Dr. Beckford is on vacation, please send to workerscomp@nova.edu. Steps for an Emergency 1. Contact Novalert at 954-262-8999 immediately. Novalert will contact 911 when needed. 2. Proceed by following steps 2 through 5 above.
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