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Referal Forms
& Documents
We typically request the below claim file documents (if available) to create our file:
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C-3
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Job Description
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FCE Report
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Perm Restricts/Final PR
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Wage Calculation Form
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PPD Rating or Date of PPD Evaluation
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Name of Attorney (if rep’d)
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IME Reports
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Initial Consultative Medical Report
Our referral forms can be downloaded if interested in using them.
For any questions email us at: admin@rvalv.com
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Fillable
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