Form WC180 Division Ime Physician Summary Disclosure Form (Claimant) - Colorado

Form WC180 Division Ime Physician Summary Disclosure Form (Claimant) - Colorado

What Is Form WC180?

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

FAQ

Q: What is the WC180 Division Ime Physician Summary Disclosure Form?
A: The WC180 Division Ime Physician Summary Disclosure Form is a document used in Colorado for workers' compensation claims.

Q: Who needs to fill out the WC180 Division Ime Physician Summary Disclosure Form?
A: The claimant (worker) needs to fill out the WC180 Division Ime Physician Summary Disclosure Form.

Q: What information is required in the WC180 Division Ime Physician Summary Disclosure Form?
A: The form requires information about the claimant's treating physician and any independent medical examination (IME) physicians who have examined the claimant.

Q: Why is the WC180 Division Ime Physician Summary Disclosure Form important?
A: This form is important because it helps track the medical providers involved in a workers' compensation claim, including the claimant's treating physician and any IME physicians.

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Form Details:

  • Released on June 1, 2010;
  • The latest edition provided by the Colorado Department of Labor and Employment;
  • 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 WC180 by clicking the link below or browse more documents and templates provided by the Colorado Department of Labor and Employment.

Download Form WC180 Division Ime Physician Summary Disclosure Form (Claimant) - Colorado

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