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California Medical Evaluators, an MDpanel Company
California Medical Evaluators, An MDpanel Company
  • Request Exam
  • Home
  • Services
    • QME Education
    • QME Practice Management
    • Workers’ Compensation Evaluations
    • Expert Witness Engagements
    • Independent Medical Evaluations
    • Fitness for Duty Evaluation
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    • Deposition & Trial Preparation
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Applicant Forms

This section contains all the necessary applicant digital forms:

Remote

Regulation 40 – Represented Regulation 40 – Unrepresented

English

Medical Eval Packet Represented Eng

Medical Eval Packet Unrepresented Eng

Psych Eval Packet Represented Eng

Psych Eval Packet Unrepresented Eng

Spanish

Medical Eval Packet Represented Spanish

Medical Eval Packet Unrepresented Spanish

Psych Eval Packet Represented Spanish

Psych Eval Packet Unrepresented Spanish

Other Forms

Hamilton Rating Scale (HAM A&D)

DEU 100 Form

DEU 101 Form

Ready to get started?

Call us at 888-853-7944

Call us at
888-853-7944

or

REQUEST TO JOIN OUR QME NETWORK ONLINE

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  • Workers’ Compensation Evaluations
  • Expert Witness Engagements
  • Independent Medical Evaluations
  • Fitness for Duty Evaluation
  • Disability Evaluations
  • Deposition & Trial Preparation

Physicians

  • QME Education
  • QME Practice Management
  • Independent Medical Evaluations
  • Physician Directory
  • CME Physician Portal

Attorneys

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  • Upload Records
  • Electronic Service of Medical-Legal Reports

Resources

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  • CME Physician Portal

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Workers’ Compensation (QME/AME) Tel 888-853-7944Medical-Legal & Expert Witness (IME/FFDE/Disability) Tel 888-963-8933

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