Physician Pre-Designation
Employees have the option of pre-designating their personal physician as their treating physician in the event of a work-related injury/illness. This designation must occur prior to a work-related injury/illness and your physician must agree to be pre-designated. Employees bear the responsibility of keeping their physician pre-designation current.
Note: A personal physician includes a medical group, if the medical group is composed of licensed doctors of medicine or osteopathy operating as a multi-specialty medical group providing comprehensive medical services predominantly for non-occupational illnesses and injuries (e.g. Kaiser Permanente). A specialist or specialty group, such as an orthopedist, cannot be pre-designated.Submit your form via one of the following methods:
- (an OnBase/PolyDoc form)
- Please log in using your 博88亚洲 credentials (BroncoName and password)
- Once you have logged in please upload your completed Personal Physician Pre-Designation Form (documentation) as prompted
- Sealed inter-office mail (marked as Confidential)
- In-person to the HR Customer Service Center in the Student Services Building 121, Second Floor
All university programs, activities and opportunities are open and available to all regardless of race, sex, color, ethnicity or national origin. For more details, please visit the University Statement on Equal Opportunity and Excellence in Education and Employment.
General Inquiries
Hours: 8:00 AM - 5:00 PM I Email: hrscsc@cpp.edu I Phone: 909-869-3733
3801 W. Temple Ave, Pomona, CA 91768
Student Services Building 121, Second Floor
Map and Directions to our office
Map and Directions to our office