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    (a)    A physician who believes that a patient under the physician’s care has an occupational disease shall submit a report to the Secretary and the Secretary of Health.

    (b)    The report shall:

        (1)    State the name, address, occupation, and place of employment of the patient;

        (2)    Identify the suspected disease; and

        (3)    Contain any other information that the Secretary requires.

    (c)    The Secretary shall give the information received under this section to the Commissioner of Labor and Industry.