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Form F245-382-000 Notice of Independent Medical Exam No-Show or Late Cancellation - Washington
What Is Form F245-382-000?
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 F245-382-000?
A: Form F245-382-000 is a Notice of Independent Medical Exam No-Show or Late Cancellation.
Q: What is the purpose of this form?
A: This form is used to notify individuals who fail to show up for an independent medical exam or cancel it without sufficient notice.
Q: Who is required to use this form?
A: This form is used by medical providers or insurance companies in Washington.
Q: What does the form require?
A: The form requires the individual's name, address, exam date and time, reason for no-show or late cancellation, and signature.
Q: What happens if you fail to show up for an independent medical exam?
A: If you fail to show up for an independent medical exam, it may have consequences for your insurance claim or legal case.
Form Details:
- Released on July 1, 2009;
- 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 fillable version of Form F245-382-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
