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Division of Workers' Compensation

Medical Provider

IME

  • IME C.R.S. 8-42-107(8)

  • IME C.R.S. 8-43-502(1)

  • Form WC 76 - Request for Appointment to the Independent Medical Examination Panel  (PDF)  (MS Word)

  • Form WC35(IME) Application for Indigent Determination (IME)  (PDF) (MS Word)

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