The California ME Appointment Notification Form is a document that is used to notify an injured worker of their Qualified Medical Evaluator (ME) appointment. The form is used to provide information to the injured worker regarding the date, time, and location of the ME appointment. The form also provides contact information for the ME appointment, and includes a list of documents that the injured worker should bring to the appointment. There are two types of California ME Appointment Notification Form: Form 103A (used for initial evaluations) and Form 103B (used for reevaluations). Upon completion, the form should be mailed or faxed to the injured worker.
California QME Appointment Notification Form
State:
California
Control #:
CA-QME-110
Format:
PDF
Instant download
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Description
QME Appointment Notification Form
The California ME Appointment Notification Form is a document that is used to notify an injured worker of their Qualified Medical Evaluator (ME) appointment. The form is used to provide information to the injured worker regarding the date, time, and location of the ME appointment. The form also provides contact information for the ME appointment, and includes a list of documents that the injured worker should bring to the appointment. There are two types of California ME Appointment Notification Form: Form 103A (used for initial evaluations) and Form 103B (used for reevaluations). Upon completion, the form should be mailed or faxed to the injured worker.
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