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State of California Division of Workers Compensation APPLICATION FOR INDEPENDENT MEDICAL REVIEW DWC Form MR California Code of Regulations, title 8, section 9792.10.2TO REQUEST INDEPENDENT MEDICAL
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What is TO REQUEST INDEPENDENT MEDICAL REVIEW: Form?

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To request independent medical means to seek a medical evaluation from a healthcare provider who is independent and unbiased.
The injured party or their legal representative is required to file to request independent medical.
To fill out a request for independent medical, you typically need to provide your personal information, details of the injury or condition, and reasons for seeking an independent evaluation.
The purpose of requesting independent medical is to obtain an unbiased medical evaluation to assess the injury or condition.
The request for independent medical must include the injured party's personal details, information about the injury or condition, and reasons for seeking an independent evaluation.
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