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Florida Workers' Compensation Uniform Medical Treatment ...

Florida Workers' Compensation Uniform Medical Treatment ...

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BEFORE COMPLETING THIS FORM, PLEASE CAREFULLY REVIEW THE INSTRUCTIONS BEGINNING ON PAGE 3 NOTE: Health care providers shall legibly and accurately complete all sections of this form, limiting their responses to their area of expertise. ... SECTION V MAXIMUM MEDICAL IMPROVEMENT / PERMANENT IMPAIRMENT RATING ____ cannot perform …

  Section, Medical, Review

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