MSI 10 Poulson Ave Essington, PA 19209


If you suffer a work-related injury, your employer or its insurance company must pay for reasonable surgical and medical services and
supplies, orthopedic appliances and prostheses, including training in their use.

In order to ensure that your medical treatment will be paid for by your employer or the insurance company, you must select from one of the
designated health care providers listed below:

Center for Occupation HealthConcentra Medical CenterCash, Stephen L., MDOne Call Care
Occupational Medicine Clinic
8 Morton Ave Ste 206
Ridley Park, PA 19078
Est Dist: 1.9 MI
Occupational Medicine Clinic
Urgent Care Clinic

7000 Holstein Ave
Philadelphia, PA 19153
Est Dist: 4.6 MI
Main Line Hand Surgery
Surgery: Hand
Surgery: Orthopedic

100 E Lancaster Ave Lankenau
Med Bldg E Ste 253
Wynnewood, PA 19096
Est Dist: 9.2 MI
Diagnostic Testing
Call for Scheduling
Miller, Curt D., MDPremier Orthopaedic & Sports
Medicine Associates Ltd
Zelouf, David S., MDHomelink
Premier Orthopaedic & Sports
Medicine Associates
Surgery: Orthopedic
2004 Sproul Rd Ste 100
Broomall, PA 19008
Est Dist: 7.8 MI
Physical Therapy
1 Bartol Ave ste 100
Ridley Park, PA 19078
Est Dist: 1.8 MI
Philadelphia Hand Center
The Philadelphia Hand Center Pc
Surgery: General
834 Chestnut St Ste G144
Philadelphia, PA 19107
Est Dist: 9.5 MI
Durable Medical

Forman, Jeffrey S., MDAlderman, Mark Christopher,
Healthesystems Bin#
Wills Eye Ophthalmology
840 Walnut St Ste 1230
Philadelphia, PA 19107
Est Dist: 9.4 MI
Discover Health Chiropractic P.C.
401 W Front St
Media, PA 19063
Est Dist: 6.7 MI
877-528-9497 If
assistance is needed,
please take Injured
Employee Prescription
Fill Form to your pharmacy

**(NOTE: If any of the health care providers listed above are employer, owned or controlled by the employer or the employer’s carrier, it
will be so designated by an asterisk next to the health care provider’s name.)

You must continue to visit one of these health care providers listed above, if you need treatment, for ninety (90) days from the date of your
first visit.

After this ninety (90) day period, if you still need treatment and your employer has provided a list as set forth above, you may choose to go
to another health care provider. You MUST notify your employer of this action within five (5) days of your visit to the health care
providers of your choice.

Your bills will be considered IF: your health care provider files written reports on a form prescribed by the Department (these reports must
be filed within ten (10) days of commencing treatment and at least once a month thereafter, as long as treatment continues).

If one of the health care providers listed above refers you to another health care provider, your employer or its insured will pay the bill for
these services provided they are reasonable and necessary.

If you are faced with a medical emergency, you may secure assistance from a hospital or health care provider of your choice.