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Our Services
Services Overview Independent Medical Examinations Impairment Ratings Record Review Expert Witness & Testimony Bill Review
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Examinee First Name*

Examinee Last Name*

Date Of Birth*

Date of Injury*

Body Parts Injured*

Claim Number*

State of Loss

Claim Type*

Worker's Compensation

Auto

General Liability

Disability

Service Type*

IME

IME Rule 8

IME Rule 16

Record Review

Record Review 16

Bill Review

FCE

IR

Additional Information Regarding Requested Service or Specialty

Requested by First Name*

Requested by Last Name*

Company Address

Company Email*

Company Phone Number*

Company Fax

Deadline or Important Date*

Physician Biographical Data Online Form

Last Name*

First Name*

Middle Initial

Degree*

NPI*

Date Of Birth*

Primary Office Name*

Primary Office Address*

Primary Office Phone*

Primary Office Fax

Primary Office Email*

Delivery Method of Medical Records

Email

Fax

FedEx/UPS

FTP

If mailing address is different than above:

Languages Spoken

Medical Specialty or Area of Focus*

Board Certification

Yes

No

Medical Specialty or Area of Focus*

Board Certification

Yes

No

Medical Specialty or Area of Focus*

Board Certification

Yes

No

Medical School*

Graduation Date*

Medical License State*

Medical License #*

License Expiration Date*

Medical License File Upload

IME Programs

ABIME

CIME

AMA Guideline Edition(s)

Willing to Speak at Conferences

Yes

No

How long have you performed IMEs?*

Willing to Testify

Yes

No

About Us

IME, Inc. facilitates independent medical evaluations, chart reviews and other specialized, medicolegal services nationally. We have three convenient regional offices located in Centennial, Colorado, Tempe, Arizona, and Salt Lake City, Utah.

Greenwood Village, Colorado Office

6143 S. Willow Drive, Suite 320, Greenwood Village, CO 80111
303-328-0128
303-577-0297
Message Us

Tempe, Arizona Office

401 West Baseline Road, Suite 206, Tempe AZ, 85283
602-365-0132
888-692-8995
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Salt Lake City, Utah Office

515 S 700 East, Ste 2A, Salt Lake City, UT 84111
801-934-3724
888-482-0131
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