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


Document Information
  How to complete a fillable form.
Title Doctor's Worksheet for Rating Dorso-Lumbar & Lumbo-Sacral Impairment (English)
Document number F252-006-000
Document type Form
How to get this document
Valid dates 09/2000
Contact information Claims for Job Injuries , Managing Injured Workers' Claims , Treating Injured Workers
Websites For Medical Providers

End of main content, page footer follows.

Access Washington official state portal

  © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve