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L&I CME Self-Assessment Examinations

CME Credits Available (Free)

Note: L&I does not have a system for reprinting or retrieving certificates. We recommend that you print multiple copies of your certificate for your records or save it electronically.

As a public agency and an accredited provider of CME, Labor and Industries does not accept support or sponsorship from commercial interests, nor are they involved in any part of CME activities. All CME contributors must disclose any relationship with commercial parties, and must be free of any real or potential conflicts of interest. This policy applies regardless of the CME topic and format.

Free CME credits are available to anyone for successful completion of these online CME activities. All are welcome to receive CME credit for this activity, including those who are outside of Washington state and outside of the United States.

L&I Publications

L&I Videos

Expand/collapse Spinal Impairment Rating

NOTE: You will need to reference the Medical Examiners' Handbook to complete this training. Please print a copy if you need one.
Adobe PDF file Medical Examiners' Handbook F252-001-000 (3.22 MB)


A. Overview, Billing and Documentation (2 hours AMA PRA Category 1 Credit™)

B. Lumbar Spine (2 hours AMA PRA Category 1 Credit™)

C. Cervical Spine (2 hours AMA PRA Category 1 Credit™)

Agency Medical Directors' Group Opioid Guideline

2015 Interagency Guideline on Prescribing Opioids for Pain (

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