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Get the free QME Form 118 Application for accreditation or re-accreditation as ... - dir ca

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Administrative Director, Division of Workers' Compensation ATTN.: Medical Unit P. O. Box 71010 Oakland, CA 94612 APPLICATION FOR ACCREDITATION OR RE-ACCREDITATION AS EDUCATION PROVIDER FOR OFFICE
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The QME Form 118 is an application form used by Qualified Medical Evaluators (QMEs) to apply for and obtain approval from the Division of Workers' Compensation (DWC) in California. It allows a physician to become a QME and perform medical evaluations for injured workers in workers' compensation cases.
Physicians who wish to become Qualified Medical Evaluators (QMEs) in California are required to file the QME Form 118 application. QMEs play a crucial role in assessing and providing medical opinions about injured workers' conditions in workers' compensation cases.
To fill out the QME Form 118 application, physicians need to provide their personal information, medical qualifications, areas of specialization, and other relevant details. The completed form must be submitted to the Division of Workers' Compensation for review and approval.
The purpose of the QME Form 118 application is to enable physicians to apply for QME status and obtain approval from the Division of Workers' Compensation. This approval allows them to perform medical evaluations and provide expert opinions in workers' compensation cases to assist in determining benefits and resolving disputes.
The QME Form 118 application requires physicians to report their personal information, medical qualifications, educational background, areas of specialization, license details, and any prior QME experience. They may also need to provide information about their liability insurance coverage and agree to abide by the rules and regulations governing QMEs in California.
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