Qualified Medical Evaluation (QME) appointments
QME appointment instructions:
To schedule a QME appointment, please send us your panel QME form with the list of 3 physicians, you received from Department of Worker's Compensation (DWC) to FAX 626-348-8772 or email it to info@PainRehabMD.com.
Please complete the following 2 forms if you have scheduled a panel Qualified Medical Evaluation with Dr. Lee and bring the completed forms to your appointment:
Please complete the following 2 forms if you have scheduled a panel Qualified Medical Evaluation with Dr. Lee and bring the completed forms to your appointment:
| qme_patient_form_-_deu100.pdf |
| pain_questionnaire_qme_ime.docx |