Get a Form or Publication: dorso-lumbar

Your search for "dorso-lumbar" returned 1 documents.

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

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.

Form F252-006-000



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