Medical Examiners' Handbook and Certification Test
This publication contains guidelines, sample reports, and billing procedures for preparing and conducting impairment ratings and independent medical exams (IME) in Washington's Workers' Compensation system.
You can download or request a copy of the Medical Examiners' Handbook.
Impairment ratings use 2 systems
- To rate impairment of extremities for workers covered by L&I, use the 5th Edition of the AMA Guides.
- To rate impairment of the spine, mental health or cognitive function, and other systems, use the category rating systems in the Medical Examiners' Handbook.
Certification test
Complete the Medical Examiner's Handbook Certification Test and print a copy of the certificate of completion to submit with your application packet.
Questions? Contact the IME program's Medical Program Specialist at Kristen.Baldwin-Boe@Lni.wa.gov or 360-902-6815.
