Here is an impairment rating template compatible with the state’s rule set
Impairment Rating Template for State Specific Rule Set (Word file)
Administrative Rule Set
Here is a link to AMA Guides 5th Edition
Physician’s Report
Here is a link to Physician’s Report of Work Ability
Labor Department
Here is a link to Bureau of Workers’ Compensation
Employer’s First Report of Injury
Here is a link to First Report of Injury Occupational Disease or Death
Request for Authorization
Here is a link to Physician’s Request for Medical Service or Recommendation for Additional Conditions for Industrial Injury or Occupational Disease (C-9)
Information on this page is subject to change as state rules and fee schedules are updated regularly. If there is any information that is incorrect or in need of revision, please contact us at info@rate-fast.com.