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Panel Clinician: Review Patients choices & initial:Initial: Date RELEASE OF INFORMATION AUTHORIZATION FORM Patients: Please complete sections 15, sign and date. See Reverse for Instructions1. Patient

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What is panel clinician?

Panel clinician is a designated medical professional who evaluates and provides medical opinions on a claimant's injury or condition in workers' compensation cases.

Who is required to file panel clinician?

Employers or insurers are required to file panel clinician in workers' compensation cases.

How to fill out panel clinician?

Panel clinician can be filled out by completing the necessary forms provided by the workers' compensation board and submitting them along with any required medical documentation.

What is the purpose of panel clinician?

The purpose of panel clinician is to provide an impartial medical evaluation of a claimant's injury or condition to assist in determining appropriate compensation and treatment.

What information must be reported on panel clinician?

The information reported on panel clinician typically includes the claimant's personal information, details of the injury or condition, medical history, and any relevant medical records.

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