Physicians Application For Designation As Impartial Specialist {IS-1}

IS-1 - PHYSICIAN'S APPLICATION FOR DESIGNATION AS AN IMPARTIAL SPECIALIST. This form is used by physicians who want to be designated as impartial specialists in the context of workers' compensation cases in New York State. The form collects information about the physician's qualifications, medical license, board certifications, years of practice, office locations, and any affiliations with health provider organizations or insurance entities. It also asks about the physician's experience in workers' compensation practice, completion of relevant continuing medical education courses, any previous disciplinary actions or license restrictions, and availability for testimony. By signing the form, the applicant agrees to abide by the Workers' Compensation Law and fulfill the responsibilities of an impartial specialist. www.FormsWorkflow.com