- Initial Application for Health Care Providers and Independent Medical Examiners
- Authorization Renewal for Health Care Providers and Independent Medical Examiners
IME forms
- IME-3 - Practitioner's Report of Request for Info./Response to Request re IME PDF
- IME-4 - Practitioner's Report of Independent Medical Examination PDF
- IME-5 - Claimant's Notice of Independent Medical Examination PDF
- IME-7 - Statement of Registration for entities deriving income from independent medical examinations PDF
- Implementation of Forms Associated with SLU Evaluations