Medical Management & Review, LLC

 

Referral Request

I request the following information about your services:
(check all that apply)

WORKERS' COMPENSATION CASE MANAGEMENT INTERVENTION   

 

Catastrophic Injury Case Management

 

Field Case Management

 

Telephonic Case Management 

 

Task Assignment/Specify in Comment Section

 

IME Coordination

DISABILITY CASE MANAGEMENT   

 

Catastrophic Injury Case Management

 

Field Case Management

 

Telephonic Case Management 

LIFE CARE PLAN   

 

Catastrophic Injury Case Management

 

Medicare Set-Aside Future Needs Projections

LEGAL NURSE CONSULTATION   

DISABILITY INSURANCE ASSESSMENT/REASSESSMENT   

REQUEST FOR INSERVICE EDUCATION   

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Copyright © 2003, 2006

Phone:   480-502-2862
FAX:        480-502-5154
Email:     catintime@cox.net
Website: www.medmgtrev.com

MM&R Consulting/Life Care Planning/Legal Nurse Consultant
P.O. Box 14644
Scottsdale, AZ 85267-4644