QME Form Requests
Medical Records
Please provide records and cover letters at least 2 weeks prior to the scheduled evaluation.
Our office accepts records electronically which can be uploaded to our website directly at https://
Pursuant to the Labor Code §4062.3, all records that are to be reviewed must include an Attestation by the sending party with the correct and total amount of pages provided and signed under penalty of perjury. Please be advised, if an attestation is not received with the records, then the records will not be reviewed until the required Attestation is received. See CCR 9793(n) for the definition of “record review.”