Obtenga un formulario o publicación: consultant

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Medical Examiners' Handbook


Book: A publication for independent medical examiners, attending doctors and consultants, this document contains guidelines, sample reports and billing procedures for preparing and conducting impairment ratings and independent medical exams in Washington's workers' compensation system. Beginning July 1, 2012, free Category I CME credits are available for completing the self-assessment associated with this handbook. Go to www.Imes.Lni.wa.gov and click on Medical Examiners Handbook for information on the exam. L&I and the authors have no financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this document.

Publication F252-001-000

Preauthorization Request for Medical Services (for State Fund Worker's Comp Patients)


This form can only be used for services that can be authorized by the claim manager and it should not be used for Utilization Review (Qualis), Provider Hotline or requests to the Occupational Nurse Consultant.  If you are unsure of what services need to be authorized see L&I fee lookup utility.

Form F242-397-000

Safety & Health Program Assessment Worksheet


For use by consultants to evaluate employers' accident prevention programs. Use this form for large employers (more than 50 employees).

Form F417-067-000
Frequently Asked Questions about Job Modifications

Fact sheet: Answers questions employers, workers and doctors may have about job modifications, including when to request a job-modification consultant and who pays for the costs involved.

Publication F245-057-000
L&I Chiropractic Consultant Application

This application is for doctors applying for second opinion examiner (consultant) status. Current consultants do not need to reapply.

Form F245-393-000
Preferred Worker Employers Job Decsription

Used by the employer to describe the job for the preferred worker. This form is reviewed by a vocational services consultant to ensure that the offered job is consistent with the worker's medical restrictions.

Form F280-022-000
Safety & Health Program Assessment Worksheet

For use by consultants to evaluate employers' accident prevention programs. Use for businesses with less than 50 employees).

Form F417-067-111

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