Here is an impairment rating template compatible with the state’s rule set

Impairment Rating Template for AMA Guides 5th Edition

Administrative Rule Set

Here is a link to AMA Guides 5th Edition

Physician’s Report

Provider’s Initial Report

Here is a link to Provider’s Initial Report (PIR)

Labor Department

Here is a link to Department of Labor and Industries

Request for Authorization

Here is a link to Preauthorization Request for Services for State Fund Workers’ Compensation Patients