Employers use this form to determine if the employee or job applicant is medically able to do the job. The form is submitted to the employee's doctor for completion and evaluation.
California Doctor's Assessment of Medical Ability to Perform Job
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By law, employers cannot ask about medical conditions before offering somebody a job, but they can after one has been accepted if they ask the same questions of every incoming employee, Kuczynski says. The law also says employers can't retaliate against someone who discloses a condition after an offer.
Can my employer force me to fill out a questionnaire?The Department of Labor says employers can require workers complete a health risk assessment before enrolling in a company health plan, so long as the employer doesn't deny benefits or change premiums based on the information.
The QME will evaluate you and issue an expert opinion either agreeing or disagreeing with your treating physician and resolving any other outstanding dispute over medical issues relating to your workers' compensation claim.
To prepare, you may want to go over your notes and review the timeline of what happened between your accident and the date of the evaluation. You should be prepared to tell the doctor how your activities of daily living (abilities to dress yourself, cook, clean, go about your day) have been affected by the injury.
What Happens Once the QME Report is Completed? The QME should send copies of the report to you, your attorney, the claims administrator, and the Division of Workers' Compensation Disability Evaluation Unit (DEU). The DEU should issue a rating of your injury within 20 days.
Don't exaggerate your symptoms. Don't be rude or negative. Don't lie.
In general, the exam includes checking a candidate's vital signs, weight, temperature, pulse, and blood pressure. It may also include specific tests such as drug and alcohol testing, physical ability and stamina testing, and psychological testing.
An employer can ask a prospective employee to complete a medical questionnaire, but only after it has made them a job offer and only if it complies with data protection requirements.
A panel QME is a randomly generated list of three QME physicians issued to you when there is a question about whether or not your injury is work related, or if there is a medical dispute that hasn't been resolved by the treating physician's report.