Request For Appointment Of Independent Medical Examiner Rehabilitation Evaluator Medical Case Manager {CC-Form-M}

CC-FORM-M - REQUEST FOR APPOINTMENT OF INDEPENDENT MEDICAL EXAMINER, REHABILITATION EVALUATOR, OR MEDICAL CASE MANAGER. This form is used by the Oklahoma Workers' Compensation Commission to request the appointment of an Independent Medical Examiner (IME), Rehabilitation Evaluator, or Medical Case Manager in a workers' compensation case. This form is used to address various medical issues related to the claimant, such as determining whether the claimant is temporarily or permanently disabled, if additional medical treatment or pain management is needed, or if surgery is necessary. It may also be used to assess the claimant’s need for vocational rehabilitation or job placement assistance. The form outlines specific questions or issues for the appointed medical professional to address and includes spaces for both parties' attorneys and an Administrative Law Judge's authorization. www.FormsWorkflow.com