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By click the "Open Panel of Physicians Form" button below, you declare that you have read the contents on the right.

Open Panel of Physicians Form
Georgia State Board of Workers Compensation Form WC-P1 (known as the “Panel of Physicians”)

The Georgia State Board has revised the rules and regulations regarding the Panel of Physicians. It is no longer necessary to have this form in the color “pink”. This form can be filled out on our website and printed by the employer on legal paper and then posted with the Bill of Rights (WC-BOR) in a conspicuous place readily accessible to the employees at all times.

The Bill of Rights can also be printed on legal paper from our website by the employer (also the Bill of Rights no longer is required to be printed on “pink” paper). Synergy does not require you to change the physicians on your Panel of Physicians if you are currently satisfied with the physicians, you would only need to change the Carrier information to:

Synergy Coverage Solutions
3440 Toringdon Way, Suite 300
Charlotte, NC 28277
704-927-2860

If you would like or need to change the physicians you can go to our web site and search by Zip Code and find alternative medical providers for your panel of physicians.