Request Or Notification For Follow Up IME {WC178} | Pdf Fpdf Docx | Colorado

 Colorado   Workers Comp 
Request Or Notification For Follow Up IME {WC178} | Pdf Fpdf Docx | Colorado

Last updated: 8/17/2025

Request Or Notification For Follow Up IME {WC178}

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Description

WC178 - NOTICE OF REQUEST FOR FOLLOW-UP DIVISION INDEPENDENT MEDICAL EXAMINATION (DIME). Either party may file the form when a claimant previously had a DIME and was determined to be ‘not at MMI’ and is now requesting a follow-up DIME. Per Rule 11, a follow-up DIME examination shall be scheduled with the same DIME Physician, unless he or she is unavailable or declines to perform the examination. www.FormsWorkflow.com

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