This version of the form is not currently in use and is provided for reference only. Download this version of Form M-1 for the current year.
This is a legal form that was released by the Maine Workers' Compensation Board - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form M-1?
A: Form M-1 is the Diagnostic Medical Report form used in the state of Maine.
Q: Who uses Form M-1?
A: Form M-1 is used by healthcare providers in Maine to report diagnostic medical information.
Q: What is the purpose of Form M-1?
A: The purpose of Form M-1 is to provide a standardized format for healthcare providers to report diagnostic medical information.
Q: Is Form M-1 required in Maine?
A: Yes, healthcare providers in Maine are required to use Form M-1 to report diagnostic medical information.
Q: What information is included in Form M-1?
A: Form M-1 includes information about the patient's medical history, current symptoms, and diagnostic test results.
Q: Can I fill out Form M-1 myself?
A: No, Form M-1 is to be completed by healthcare providers based on their assessment and diagnosis.
Q: Can I request a copy of Form M-1?
A: Yes, as a patient, you have the right to request a copy of your Form M-1 from your healthcare provider.
Q: How long does it take to complete Form M-1?
A: The time to complete Form M-1 varies depending on the complexity of the diagnosis and the availability of the necessary information.
Q: What should I do if I have questions about Form M-1?
A: If you have questions about Form M-1, you can contact the Maine Department of Health and Human Services or consult with your healthcare provider.
Form Details:
Download a fillable version of Form M-1 by clicking the link below or browse more documents and templates provided by the Maine Workers' Compensation Board.