Office of Medical/Rehabilitation Services
Tel. (207) 287-7080
Fax (207) 287-7198

Elizabeth Inman (207) 941-4557, Deputy Director
Melinda Porter (207) 287-7080, Office Specialist II
Bernie Bean (207) 287-7062, Secretary

 

 

M-1 Practitioner Report (Word 97)

M-1 Practitioner Report (PDF Format)

 

Petition for Payment of Medical & Related Services (Word 97)

Providers Petition for Payment of Medical & Related Services (Word 97)

 

Chapter 18 Rules   Impartial Physician Examinations in Occupational Disease Cases (Microsoft Word Document)