Approved Independent Medical Examiner (IME) Update

Document Information
  How to complete a fillable form.
Title Approved Independent Medical Examiner (IME) Update

This document is used to update or correct an IME's contact, availability, qualifications and/or exam sites information.

Document number F245-051-000
How to get this document
Alt Language(s)
Valid dates 11/2014
Contact information Claims for Job Injuries
Related information

Independent Medical Examination (IME) Provider Exam Sites

Provider Account Application - Independent Medical Examiner (IME)

Websites For Medical Providers

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