Chapter 1. Industrial Medical Council
Article 10.5. QME Process Forms
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§105. The Request for Qualified Medical Evaluator Instruction Form.
§106. The Request for Qualified Medical Evaluator Form.
§107. The Qualified Medical Evaluator Panel Selection Form.
§108. The Request for Qualified Medical Evaluator Panel Selection Instruction Form.
§109. The Notice of Qualified Medical Evaluator Unavailability Form.
§110. The Appointment Notification Form.
§111. The Qualified or Agreed Medical Evaluator Findings Summary Form.
§112. The Qualified or Agreed Medical Evaluator Extension Request Form.
§113. The Time Extension Approval Form.
§114. The Denial of Time Extension Form.
§115. The Notice of Late Qualified Medical Evaluator Report Form.
§116. The Notice of Late Qualified Medical Evaluator Report Form--Extension Not Requested Form.
§117. Qualified Medical Evaluator Continuing Education Response Form.
§118. Application for Accreditation or Re-Accreditation As Education Provider.
§119. Faculty Disclosure of Commercial Interest.
§149. Definitions.
§149.2. Neuromusculoskeletal evaluation.
§149.4. Cardiovascular evaluation.
§149.6. Pulmonary evaluation.
§149.8. Psychiatric evaluation.
§149.9. Other evaluation.
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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
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