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Office of Workers' Compensation Programs
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Division of Energy Employees Occupational Illness Compensation (DEEOIC)

Contract Medical Consultant (CMC) & Second Opinion Medical Specialists Quarterly Audit Worksheets

The DEEOIC Medical Director conducts regular or quarterly audits of cases that have been referred to a Contract Medical Consultant (CMC) or to a Second Opinion Medical Specialist (SECOP), using the sample forms below to assist in the audit assessment of the CMC to determine whether the physician’s written medical report was complete and responsive, and whether responses were well-rationalized and consistent with the totality of evidence in the case under review.


File Review Worksheet

Impairment Evaluation Worksheet

Referee Medical Opinion Worksheet

Second Medical Opinion Worksheet