Assistance Directory – CAMPUS/HEALTHCARE
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Assistance Directory – CAMPUS/HEALTHCARE SEDGWICK CMS P.O. Box 14533 Lexington KY 40512-4533 Mail code 691448 Phone 310 253 7500 Fax 310 253 7569 CAMPUS PAYROLL UCLA Wilshire Center, Suite 620 MC 141648 Phone 310 794 8706 Fax 310 794 8751 OCCUPATIONAL HEALTH FACILITY (OHF) 67-120 Center for Health Sciences Monday through Friday 7:30 a.m. to 4:30 p.m. Mail Code 172524 Phone 310 825 6771 Fax 310 206 4585 UCLA HEALTHCARE PAYROLL UCLA Wilshire Center, Suite 1700 MC 167646 Phone 310 794 0127 Fax 310 794 8049 SMH Emergency Room Phone 310 319 4765 EMERGENCY DEPARTMENT 757 Westwood Plaza (ER entrance Gayley Ave, north of Le Conte) Phone 310 267 8406 Open 24 hours a day Assistance Directory – CAMPUS UCLA OFFICE OF INSURANCE AND RISK MANAGEMENT (OIRM) 10920 Wilshire Blvd, Suite 860 MC 135248 Phone 310 794 6948 Fax 310 794 6957 Mieko Raphael Oksana Nersisyan Judith Parrish 310 794-8873 310 794-6952 310 794-6954 mraphael@irm.ucla.edu onersisyan@irm.ucla.edu jparrish@irm.ucla.edu EMPLOYEE DISABILITY MANAGEMENT TEAM Adrienne Malka 310 794-8012 amalka@irm.ucla.edu Cari Blitzer 310 794-6955 cblitzer@irm.ucla.edu Wayne Yacoots 310 794-6951 wyacoots@irm.ucla.edu FORMS: www.chr.ucla.edu or contact OIRM INJURY PREVENTION - CAMPUS Environmental Health & Safety 310 206-6544 Ergonomic Evaluations www.ergonomics.ucla.edu In case of severe injury or if an employee is hospitalized over night: Call EH&S at (310) 825-9797 OSHA requires notice within 8 hours. Assistance Directory – HEALTH SYSTEM UCLA HEALTH SYSTEM HUMAN RESOURCES (HSHR) 10920 Wilshire Blvd, Suite 400 MC 167648 Phone 310 794 0500 Fax 310 794 3337 INJURY REPORTING PROGRAM INFORMATION INJURY ANALYSIS/TRENDS Cynthia Vazquez 310 794 0522 Ingrid Garcia 310 794 3036 DISABILITY MANAGEMENT RETURN TO WORK LOSS CONTROL ASSISTANCE Mark Briskie 310 794 0525 Suzanne Bleibtreu EMPLOYEE ASSISTANCE SUPPLEMENTAL PAYROLL WORKSHEETS cvazquez@mednet.ucla.edu igarcia@mednet.ucla.edu VOCATIONAL REHABILITATION mbriskie@mednet.ucla.edu sbleibtreu@mednet.ucla.edu FORMS: DWC1 Contact HSHR UCLA Incident Report and Referral for Medical Treatment EMPAC Form #313323 All other forms http://hr.uclahealth.org POLICY: http://www.mednet.ucla.edu/Policies/pdf/enterprise/HS7318.pdf INJURY PREVENTION - HEALTHCARE SAFETY INSPECTIONS/TRAINING ACCIDENT INVESTIGATION COORDINATION ERGONOMIC EVALUATION Erik Eggins 310 825 4012 phone BH-418 CHS MC 692620 http://hr.uclahealth.org eeggins@mednet.ucla.edu 310 794 7956 fax PAGER 90248 CUE EMPLOYEES Ergonomic Evaluations Elizabeth Hardy ehardy@mednet.ucla.edu 424-259-9115 phone 424-259-9113 fax 1260 15th St #600, Santa Monica CA 90404 PAGER 99103 In case of severe injury or if an employee is hospitalized over night: Call Safety Office at (310) 825-4012 or pager 90248 or WC HHR or OHF OSHA requires notice within 8 hours.
