Intellect™
BILLING MENU OPTIONS
Worker
Sample WC Forms
Sample QME/AME Report Time Frame Extension Request
Periodically, Workers' Comp releases new forms. The most current version of the State of California Division of Workers' Compensation - Medical Unit QME/AME Report Time Frame Extension Request is revision 10/2013.
Click here to access a .pdf version of the request form.
View a sample of the request form below:
page 2
