California Qualified Medical Evaluator Complaint Form

State:
California
Control #:
CA-SKU-4873
Format:
PDF
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Description

Qualified Medical Evaluator Complaint Form The California Qualified Medical Evaluator (ME) Complaint Form is a document used to report a complaint against a ME. This form is used to report concerns about a ME’s professional conduct, qualifications, or practice. There are two types of Complaint Forms: the Complaint Form (QME-1) and the Supplemental Complaint Form (QME-2). The QME-1 is used to report any grievances against a ME and the QME-2 is used to provide additional evidence and information to support the allegations made on the QME-1. Both forms must be completed and submitted to the Division of Workers’ Compensation Medical Unit.

The California Qualified Medical Evaluator (ME) Complaint Form is a document used to report a complaint against a ME. This form is used to report concerns about a ME’s professional conduct, qualifications, or practice. There are two types of Complaint Forms: the Complaint Form (QME-1) and the Supplemental Complaint Form (QME-2). The QME-1 is used to report any grievances against a ME and the QME-2 is used to provide additional evidence and information to support the allegations made on the QME-1. Both forms must be completed and submitted to the Division of Workers’ Compensation Medical Unit.

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California Qualified Medical Evaluator Complaint Form