Doctor's Worksheet for Rating Dorso-Lumbar & Lumbo-Sacral Impairment


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Title Doctor's Worksheet for Rating Dorso-Lumbar & Lumbo-Sacral Impairment
Description This worksheet is to help the attending physician perform impairment rating on their patients with permanent partial disability of the Dorso-Lumbar or Lumbo-Sacral spine.
Document number F252-006-000
How to get this document
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Valid dates 09/2000
Contact information Claims for Job Injuries, Employer Services, Employer Services
Websites For Medical Providers

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