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QME/ AME Information

 To avoid delay in scheduling a QME or AME evaluation, we require our intake to be filled out completely and forwarded to the scheduling coordinator. This applies to new appointments and re-evaluations. For initial QME evaluations, please attach a panel letter.  


Our QME/AME Coordinator Patricia can be reached through the following:

Direct Line: (925) 273-9915
Direct Fax: (925) 241-4660

E-Mail: medlegal@doctorchrischen.com 

QME Intake Form (including Re-evaluations)

Please feel free to save this document for future patient scheduling.

Download PDF

AME Intake Form ( including Re-evaluations)

Please feel free to save this document for future patient scheduling. 

Download PDF

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