PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form F245-053-000
for the current year.
Form F245-053-000 Independent Medical Exam Comments - Washington
What Is Form F245-053-000?
This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F245-053-000?
A: Form F245-053-000 is a document used for independent medical exam comments in Washington.
Q: What is an independent medical exam?
A: An independent medical exam is a medical evaluation conducted by a healthcare professional who is not involved in a patient's regular care.
Q: When is Form F245-053-000 used?
A: Form F245-053-000 is used to record comments and findings from an independent medical exam in Washington.
Q: Who completes Form F245-053-000?
A: The healthcare professional conducting the independent medical exam completes Form F245-053-000.
Q: Can patients access their Form F245-053-000?
A: Patients do not typically have direct access to their Form F245-053-000. It is often provided to insurance companies or legal entities for evaluation.
Form Details:
- Released on February 1, 2017;
- The latest edition provided by the Washington State Department of Labor and Industries;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form F245-053-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
