Independent Medical Exam Doctor's Estimate of Physical Capacities

Independent Medical Exam Doctor''s Estimate of Physical Capacities - (Forms/Publications)
Document Information
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Title   Independent Medical Exam Doctor''s Estimate of Physical Capacities (121 KB PDF)
Description

IME Doctor’s Estimate of Physical Capacities: For use by independent examiners when asked to estimate physical capacities as part of an IME requested by the department.

Detail
Form number F242-387-000
Availability
Online only. See document above to download.
Keywords doctor, IME, medical exam
Languages English
Valid dates 09-2007
Contact information

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