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Download and complete the Application to Serve As An Impartial Physician. Bring your application and curriculum vitae to: Department of Industrial AccidentsThe response may be filed using the "Response to Petition for Change of Primary Treating Physician" form (DWC-Form 280 (Part B)) contained in Section 9786.1. This doctor is called an agreed medical evaluator (AME). An AME or a panel QME will be used to resolve medical disputes in your workers' compensation case. Q. It can involve an actual physical examination or a review of existing medical records. The examination is meant to eliminate contradictory medical reports between injured workers and their employers. This doctor is called an agreed medical evaluator (AME). An AME or a panel QME will be used to resolve medical disputes in your workers' compensation case. Q. Do you have any other medical conditions that impact your ability to work?