Adjusters
Welcome to our adjuster QME Resource Center. At this location, you will find the required forms necessary to begin the QME evaluation process.
If you need to schedule a QME appointment directly, please click here.
If you need directions, clinic locations, or contact information for your QME exam, click here.
Forms
DEU 101: This form is required by the California Division of Workers Compensation to provide the QME evaluator with accurate claim information, and direct the QME report to the proper Disability Evaluation Unit.
Still not finding what you need? Contact us at info@PR4Report.com.
Chart Review
Please email pdf chart review to jamd@pr4report.com, or mail to:
Impairment Rating Specialists Unlimited,
2360 Mendocino Ave.
Ste A2, Santa Rosa, CA 95403
Our mission is to write objective and correct AMA impairment medical evaluations.
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