Independent Medical Examinations (IMEs) are evaluations performed by a physician not involved in the care of the examinee, for clarifying clinical and case issues. IMEs are an important component of workers’ compensation systems, and are also used to clarify other disability or liability associated cases.

Request An Independent Medical Exam (IME):

Download and fill out the IME Form :

• IME Form – Editable PDF Format
• IME Form – MS Word Format
• IME Form – Online Format