Nevada
Workers Comp
Last updated: 10/22/2024
Permanent Work Related Mental Impairment Rating Report Work Sheet {D-9c}
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Description
D-9c - PERMANENT WORK-RELATED MENTAL IMPAIRMENT RATING REPORT WORK SHEET. Since the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition, does not provide a quantified method for assigning permanent impairment percentages under Chapter 14, “Mental and Behavioral Disorders,” the provider shall use this form when evaluating claims accepted pursuant to NRS 616C.180. This form should only be used to determine an impairment after the case has been found to meet all of the specific criteria for a Diagnostic and Statistical Manual of Mental Disorders, Fifth Ed. (DSM- V) diagnosis. www.FormsWorkflow.com
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