Have you been injured at work?

Before arriving at Albany Med Emurgentcare, you must report this injury to your on-duty manager or on-call personnel.

Please be sure you have the following with you:

The name and contact info for the person you reported the injury to

Your company’s Workers Compensation Carrier (this should be posted in the company breakroom)

An open and active claim number, if it has already been obtained, as well as any adjuster contact information you have been provided

If provided to you by your employer – a copy of the accident report and completed NYS Workers Comp Form C2

If your employer states they would like to pay for your visit (instead of going through Workers Compensation)

They must provide a contact number that we can reach at the conclusion of your visit to make a credit card payment over the phone

If they require an invoice we must have a correct mailing address and / or fax number and name for the responsible party, and documentation that the accident was reported

What to expect when you arrive:

Our front desk staff will give you a registration form to fill out with your personal information, and obtain copies of your ID and private insurance card for our files.

You will also be given a NYS Workers Comp C3 packet (also available on this webpage for your convenience) which must be filled out in full prior to being seen.

If your employer has provided you with any paperwork, return-to-work forms or a copy of your accident report, please provide this to our front desk at check in so they may add it to your chart.

Click here for Workmans Comp C3 form.

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