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
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.