CMLS QME Management Portal (2024)

Complete the form, below, then click the GO TO NEW APPOINTMENT REQUEST FORM button to continue. All fields are required.

By submitting this request, you are in agreement that a QME appointment may be scheduled on the doctor’s earliest available date for the location you selected that falls between 30 and 90 days for an initial P-QME in accordance with DWC regulations.

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Select the party you represent:* Invalid value

Enter your full name (First Last):* Invalid value

Enter your title:* Invalid value

Select your preferred contact method:* Invalid value

Email Address:* *A valid email address is required Email is the primary method of communication we will use for all subsequent correspondence with you regarding this request. Entering an incorrect email address limits our ability to effectively communicate with you. Please enter a correct email address. Fax Number:* Invalid value Phone Number:* Invalid value

Panel Number:* Invalid value

Check the box if a non-panel exam

Go to new appointment request form

Complete the form, below, then click the SUBMIT DATE AVAILABILITY CHECK button to continue. All fields are required.

By submitting this request, you acknowledge that any appointment date provided to you as the next available will not be held and may not be available at the time of actual booking.

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Doctor's Full Name (First/Last):* Invalid value

Address on Panel (Address/City/Zip):* Invalid value

Select the party you represent:* Invalid value

Your Full Name (First/Last):* Invalid value

Your Title:* Invalid value

Your Email Address:* *A valid email address is required Email is the primary method of communication we will use for all subsequent correspondence with you regarding this request. Entering an incorrect email address limits our ability to effectively communicate with you. Please enter a correct email address.

SUBMIT DATE AVAILABILITY CHECK

Enter the Claim Number, Panel Number, and Examinee's Date of Birth; then click the GO TO APPOINTMENT SEARCH RESULTS button to continue. All fields are required.

Enter the Claim Number:* Invalid value

Enter the Panel Number:* Invalid value

Check the box if a non-panel exam

Examinee's Date of Birth (mm/dd/yyyy):* Invalid value

Go to appointment search results

Complete the form, below, then click the SEARCH/UPLOAD RECORDS button to view the status of cover letter/medical records submission, and to request a link to the secure records portal. All fields are required.

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Select the party you represent:* Invalid value

Enter your full name (First Last):* Invalid value

Claim Number:* Invalid value

Panel Number:* Invalid value

Check the box if a non-panel exam

Examinee's Date of Birth (mm/dd/yyyy):* Invalid value

Search/Upload Records

To submit a Deposition request, please complete the form, below, then click the GO TO CONFIRM CASE INFORMATION button. If a matching case is found in our database, it will be shown to you on the next screen, where you may confirm the case and submit the request for Deposition. Upon receiving your Deposition request we wiil notify you of the doctor's available dates and times. All fields are required.

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Select your role:* Invalid value

Enter your full name (First Last):* Invalid value

Email is the primary method of communication we will use for all subsequent correspondence with you regarding this request. Entering an incorrect email address limits our ability to effectively communicate with you. Please enter a correct email address. Email Address:* *A valid email address is required Confirm Email Address:* Invalid value

Phone Number:* *A valid phone number is required

Claim Number:* Invalid value

Panel Number:* Invalid value

Check the box if a non-panel exam

Examinee's Date of Birth (mm/dd/yyyy):* Invalid value

Go to Confirm Case Information screen