Form F245-382-000 Notice of Independent Medical Exam No-Show or Late Cancellation - Washington

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.

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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;

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.

Download Form F245-382-000 Notice of Independent Medical Exam No-Show or Late Cancellation - Washington

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  • Form F245-382-000 Notice of Independent Medical Exam No-Show or Late Cancellation - Washington, Page 1
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