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| Getting Through Your Independent Medical Examination | | Print | |
| Written by Linda Nee | ||||||||||||||||||
Page 15 of 16
After review of the medical history and the professional/work history that details specific job duties, explain what our insured feels he is incapable of performing. Indicate how your exam compares with the prior medical records, diagnostic tests, and imaging reports that are enclosed. Please list the restrictions and limitations that you feel our insured have that may impair his ability to perform his occupation. What are the objective findings that support these restrictions and limitations? Please identify any additional diagnostic test you feel should be done to clarify our insured's ability to work. Please contact me at 555-5555-55555 to obtain authorization if you feel the tests can be done at the time of your evaluation. List any further recommendations for treatment, therapy, surgery, etc. that you feel should be considered. Discuss the prognosis for each of the recommendations.
Comment on any verbal statements or physical behaviors that were unusual, unexpected, or Please respond to the following questions:
1 Are casual observations of activities outside the evaluation process (i.e. sitting while waiting for the evaluation, walking within the facility, opening doors, etc.) consistent with the similar activities that were part of the evaluation process?
2 Please assess our insured's functional performance, capacity, and describe his maximal tolerance, including frequency and duration of each activity. Did the insured give maximum effort?
3 Please comment on our insured's posture and compensatory movements that were present.
4 Is the insured's active ROM within normal limits? Within functional limits? Is there a discrepancy between active ROM and passive?
5 Were responses consistent throughout the evaluation? Does symptom magnification appear to be a factor?
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