IME/QME Resources Library
Expert guidance on Independent & Qualified Medical Examinations for professionals
Workers' Compensation Guides
Free Personal Injury Questionnaire Template – Download Now
Get a free Personal Injury Questionnaire Template to document accident details, medical treatment, and financial losses for your personal injury claim.
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QME Guides
Request for Factual Correction of an Unrepresented Panel QME Report (QME Form 37)
Download the QME Form 37 template to request factual corrections to an unrepresented panel QME report in California workers' compensation cases. Get it free now!
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Workers' Compensation Guides
Free DWC Form RFA to Request Authorization for Medical Treatment
Get the free Request for Authorization for Medical Treatment form template. Simplify the process of requesting medical payment authorization today!
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IME Guides
Free Referral for Specialist Medical Opinion Template – Access Now
Get the Referral for Specialist Medical Opinion Regarding Work Capacity template for free. Use this form to request a specialist’s evaluation of an employee’s ability to work.
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QME Guides
QME Form 104 – Reappointment Application as a Qualified Medical Evaluator
Use the QME Form 104 template to apply for reappointment as a Qualified Medical Evaluator (QME) in California. Ensure compliance and maintain your QME status.
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QME Guides
QME Replacement Panel Request Form-Download for Free!
Download the free Replacement Panel Request Form to request a new QME panel in California workers' compensation cases. Stay compliant and streamline the process!
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QME Guides
Download QME Form 105 for Free – Complete Your QME Panel Request
Looking for QME Form 105 to proceed with a QME panel request? Download your QME for 105 for free!
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QME Guides
QME Notice of Unavailability (Form 109) – Free Template Download
Use a QME Notice of Unavailability (Form 109) template to notify the Medical Director of your temporary absence and ensure compliance with California regulations.
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QME Guides
Download Free QME Form 121 – Protection of Mental Health Record
Get the QME form 121 to stay compliant with DWC regulations and protect confidential medical information.
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QME Guides
Free QME Form 120 Template – Download Now!
Access the QME Form 120 template for free. This form allows injured workers in California workers' compensation cases to choose a physician to receive their psychological injury evaluation report.
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Latest Templates
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