Form TDI-IME Impartial Medical Examiner's Agreement - Rhode Island

Form TDI-IME Impartial Medical Examiner's Agreement - Rhode Island

What Is Form TDI-IME?

This is a legal form that was released by the Rhode Island Department of Labor and Training - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form TDI-IME?
A: Form TDI-IME is the Impartial Medical Examiner's Agreement in Rhode Island.

Q: What is the purpose of Form TDI-IME?
A: Form TDI-IME is used to appoint an impartial medical examiner to evaluate a claimant's medical condition in a workers' compensation case.

Q: Who needs to complete Form TDI-IME?
A: Both the claimant and the employer/insurer need to complete Form TDI-IME.

Q: What information is required on Form TDI-IME?
A: Form TDI-IME requires information about the claimant's case, the medical examiner, and the appointment process.

Q: What happens after Form TDI-IME is submitted?
A: Once Form TDI-IME is submitted, the Department of Labor and Training will review the form and assign an impartial medical examiner.

Q: Can the claimant choose their own medical examiner?
A: No, the medical examiner is selected by the Department of Labor and Training.

Q: Is there a fee for the medical examination?
A: No, the cost of the medical examination is paid by the employer/insurer.

Q: How long does it take to get an appointment with the medical examiner?
A: The Department of Labor and Training will notify the claimant and employer/insurer of the appointment date and time within 30 days of receiving Form TDI-IME.

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Form Details:

  • Released on April 10, 2013;
  • The latest edition provided by the Rhode Island Department of Labor and Training;
  • 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 TDI-IME by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Labor and Training.

Download Form TDI-IME Impartial Medical Examiner's Agreement - Rhode Island

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