Important Patient Information

You have been referred to OmniMed Evaluation Services for an Independent Medical Examination (IME). The purpose of this examination is to obtain an objective opinion from a third party. There is no charge to you for this examination. OmniMed will reimburse the consulting doctor for all services. The selected physician is listed on the “Notice of Physical Examination” letter you received from us. If more than one specialty was selected (i.e. Orthopedic and Neurology), you will have received more than one letter from us. If you are represented by an attorney or licensed representative, he/she have been notified by us.

Examination Information

Please be aware that this examination is for evaluation purposes of injuries directly related to the incident noted on the letter you received from us. No treatment or medical advice will be given. The consulting doctor will forward a complete report to us. The consulting doctor is not permitted to discuss his findings with you. He is not to become your treating doctor.

Your Responsibilities

After receiving a letter from this office, call the Doctor’s office at the telephone number listed on the letter to confirm the date of appointment. If the date or time of the appointment is inconvenient, please notify OmniMed immediately at 866-376-9500. You have forty eight hours from receipt of the letter to cancel or change the appointment. If we do not hear from you within that time, we will consider the appointment acceptable. If you require directions to the Doctor’s office, please phone their office directly. Phoning OmniMed may result in a delay. If you desire, you may use a computer based internet program for directions. We recommend that you use MSN MapPoint ™

Please arrive at the doctor's office fifteen minutes early so any necessary paperwork can be completed. Most doctors adhere to a very specific schedule and will consider you absent if you are late. Please bring copies of your medical records (obtain them from your treating doctor) including x-ray films, MRI films, CT scan films, or test results. This information will help the consulting doctor reach a full diagnostic impression. You must, however, attend this examination even if you are unable to obtain these records. If you do not speak English, bring an interpreter with you so that communication can be supported.

You may be asked to change into a gown so wear appropriate clothing. You may be asked to complete entrance forms outlining your accident and medical history. Please fill these out to the best of your ability. If you are unable to recall the answer to any question, don’t worry. Just do the best that you can. The doctor will review the history with you. He will also conduct a physical examination. The type of examination differs with each specialty. Please inform the doctor if you experience any discomfort due to the examination. The doctor will not perform any invasive testing without your approval. Such testing includes X-rays and electrodiagnostic testing. As a matter of rule, these tests are not usually performed in an IME.

As a patient who has been requested to submit to an independent medical examination, you have rights and obligations, as follows:

New York No-Fault Examinations

The New York mandatory PIP endorsement states: "The eligible injured person shall submit to medical examinations by physicians selected by, or acceptable to, the {insurance} company when, and as often as the {insurance} company may reasonably require." Failure to submit to this medical examination or to make other suitable arrangements, may result in a denial of all future no-fault benefits and/or indicate that you are no longer disabled or under a physician's care.

If you are being seen as a result of a non-work related auto accident (No-Fault), you may be eligible for reimbursement of reasonable travel expenses and lost wages incurred as a result of attending the examination. You should contact your insurance company to determine your eligibility and the procedure to follow for reimbursement. OmniMed does not reimburse you for these expenses.

New York Worker's Compensation Law

Section 13-a(4) states: "The {insurance company} shall be entitled to have the claimant examined by a qualified physician at a place reasonably convenient to the claimant and in the presence of the claimant's physician, and refusal by the claimant to submit to such examination at such time or times as may reasonably be necessary in the opinion of the Board, shall bar the claimant from recovering compensation for any period during which he has refused to submit to such examination."

In addition, you may have additional rights and obligations under the law. All legally mandated language and notices are included in our “Notice of Physical Examination” which has been mailed to you. Please refer to these letters for complete information.

All Other Examinations

For all other types of examinations, please refer to our “Notice of Physical Examination” letter for specific information on the purpose of examination.

Conclusion

It is our goal to make the examination process as easy as possible for you. Your examination is assigned to a physician located as close as possible to your home. If you have any difficulty with the time or location of the appointment, we will do everything possible to ease the process and obtain a convenient time for you. We expect your examination to be conducted in a professional environment with courtesy, privacy, and comfort. Please feel free to bring a chaperone.

If you are being seen as a result of a non-work related auto accident (No-Fault), you may be eligible for reimbursement of reasonable travel expenses and lost wages incurred as a result of attending the examination. You should contact your insurance company to determine your eligibility and the procedure to follow for reimbursement. OmniMed does not reimburse you for these expenses.

If you have any other specific questions about the purpose of the physical examination please contact your attorney, representative or insurance carrier directly. For general information, feel free to contact OmniMed.