(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.