Independent Medical Exam Comments

Independent Medical Exam Comments - (Forms/Publications)
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Title   Independent Medical Exam Comments (65 KB PDF)
Description Used by the injured worker to provide comments to L&I about their recent medical exam by an IME.
Form number F245-053-000
Online only. See document above to download.
Keywords doctor, español, espanol, exams, independent medical examiner, industrial insurance, physician, spanish, worker's compensation, workers compensation, workers' compensation
Languages English , Spanish
Valid dates 12-2004
Contact information Claims for Job Injuries
Web pages Workers' Comp Claims

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