Product Details
 
Forms, Checklists, Templates and Questionnaires for IME Physicians

By SEAK, Inc. ©2009 Seak, Inc.

Contains 42 forms, checklists, templates, questionnaires and other resources for IME Physicians. These tools have been collected from and are being used by leading IME physicians. They will help make your IME practice less risky, more efficient, and more profitable. You will be able to conduct higher quality examinations and produce more valuable reports. Each form is provided in hard copy and on CD-ROM as PDF and WORD files. Saves physicians the hundreds of hours of time it would take to create these tools from scratch. 30 Day Money Back Guarantee.  

  

Features:
 
1. Agreement to Hire Associate Physician For Examinations
2. Case Intake Form
3. Consulting Agreement
4. Contract to Perform IME For Requesting Party
5. Contract with Lawyer with Fee Schedule
6. Demand For Payment Letter
7. Examinee 36 Point Health Survey Questionnaire
8. Examinee Consent Form
9. Examinee Detailed Consent Form With Instructions
10. Examinee Exit Questionnaire Version #1
11. Examinee Exit Questionnaire Version #2 More Detailed
12. Examinee Exit Questionnaire Version #3 Simple
13. Examinee Motor Vehicle Accident History Questionnaire
14. Examinee Notification Letter
15. Examinee Pain Drawing
16. Examinee Pain Inventories
17. Examinee Pre-Evaluation Forms with Very Detailed Questionnaire
18. Examinee Pre-Evaluation Questionnaire Version #1 With Consent
19. Examinee Pre-Evaluation Questionnaire Version #2
20. Examinee Release of Medical Records Authorization Form
21. Examiner Checklist for Symptom Magnification
22. Examiner Frequency of Treatment Grid
23. Examiner Note Taking Sheet
24. Examiner Pain Drawing Scoring
25. Examiner Patient History Form
26. Expert Witness Retention Letter
27. Fee Schedule
28. File Organization Guide and Checklist
29. Follow Up Report Template
30. IME Process Checklist
31. IME Report Template Version #1
32. IME Report Template Version #2
33. IME Report Transcription Template
34. Invoice
35. Marketing Letter
36. Medical File Review Consultant Agreement
37. Preliminary Report Template
38. Record Review Report Template
39. Records Requested Master List With Status
40. Referral Source Confirmation Letter and Fee Agreement
41. Referral Source Satisfaction Survey to Include With Invoice
42. Report Audit

Price: $400.00



 

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