Independent Medical Exam Comments
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| 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. | |
| Detail | ||
| Form number | F245-053-000 | |
| Availability | 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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