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If the Worker has reached MMI and you have already assessed Worker s impairment please indicate your opinion as to the percentage of the Worker s anatomical or functional abnormality as of the date of MMI a. Percentage of impairment if any b. Has a physical capacities assessment of functional capacity evaluation been performed and if so by whom YES NO Performed by 10. Other remarks I hereby affirm that the foregoing responses or opinions are true and correct to a reasonable medical...
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