Program overview
The Medical Examiners' Handbook (F252-001-000, 07-2024) defines required IME report content, sample reports, work-relatedness assessment for occupational disease, and the doctor's estimate of physical capacities.
Report requirements
WAC 296-23-382 requires IME reports to contain objective, sound, and sufficient medical information; document the claim documents reviewed; and record the worker's history and clinical findings.
Key facts
| Program | IME |
| Agency | Washington State Department of Labor & Industries |
| Statute / rules | WAC 296-23-382 (IME report content) |
| AMA Guides edition | AMA Guides (edition per L&I — verify current) |
| Edition basis | L&I Medical Examiners' Handbook |
| MMI rules | Detailed in the Medical Examiners' Handbook; report content per WAC 296-23-382 |
| Key forms | IME report templates in the Medical Examiners' Handbook |
| Fee schedule | L&I fee schedule; MARFS Chapter 24 covers telehealth IME policy |
| Telehealth | MARFS (2025) lists which IME-related services may be covered via telehealth; most IMEs remain in person |
