Chapter 1. Industrial Medical Council
Article 10.5 QME Process Forms

New query

§106. The Request for Qualified Medical Evaluator Form.

View Form Attachment to Form 106


For Use with the QME Panel Request Form

   
MD/DO Specialty Codes
 
Non-MD/DO Specialty Codes
 

MAI
Allergy and Immunology
*denotes a doctor of chiropractic
MAA
Anesthesiology
who has completed a chiropractic

MRS
Colon & Rectal Surgery
post-graduate specialty program
MDE
Dermatology
 
MEM
Emergency Medicine
ACA
Acupuncture
MFP
Family Practice - MD
DCH
Chiropractic
OFP
Family Practice - DO
DCN
Chiropractic-Neurology*
OFM
Family Practice - DO -
DCO
Chiropractic
 
Including Osteopathic
 
-Orthopaedic*
 
Manipulation
 
MPM
General Preventive Medicine
DCR
Chiropractic - Radiology*
MOH
Hand-Orthopaedic Surgery
DCS
Chiropractic - Sports
       
Medicine*
MPH
Hand-Plastic Surgery
DCT
Chiropractic -
 
 
   
Rehabilitiation*
MSH
Hand-Surgery
DEN
Dentistry
MMM
Internal Medicine
OPT
Optometry
MMV
Internal Medicine-
POD
Podiatry
 
Cardiovascular Disease
PSY
Psychology
MME
Internal Medicine-Endocrinology
PSN
Psychology-Clinical
 
Diabetes and Metabolism
 
Neuropsychology
MMG
Internal Medicine-
 
Gastroenterology
 
MMH
Internal Medicine-Hematology
 
MMI
Internal Medicine-Infectious
 
 
Disease
 
MMO
Internal Medicine-Medical Oncology
MMN
Internal Medicine-Nephrology
MMP
Internal Medicine-Pulmonary Disease
MMR
Internal Medicine-Rheumatology
MOQ
Medicine - Otherwise Qualified
MPB
Neurological Surgery-Including Back
MPN
Neurology
MNS
Neurological Surgery
MNM
Nuclear Medicine
MOG
Obstetrics and Gynecology
MPO
Occupational Medicine
MOP
Ophthalmology
MOS
Orthopaedic Surgery


HISTORY


1. New section filed 4-14-2000; operative 5-14-2000 (Register 2000, No. 15). For prior history see Register 94, No. 31.


2. Change without regulatory effect amending section filed 5-2-2002 pursuant to section 100, title 1, California Code of Regulations (Register 2002, No. 18).

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The above information is provided free of charge by the Department of Industrial Relations from its web site at www.dir.ca.gov.