Contact Workers’ Compensation Team
Phone: 501-500-1750
Email: workcomp@orthoarkansas.com
SPECIAL EXAM REQUESTS
Independent Medical Exam (IME)
Comprehensive Second Opinion (CSO)
Thank you for choosing OrthoArkansas for your special service request. Our orthopedic trained physicians have the expertise to evaluate for compensability, appropriate diagnoses, and treatment. OrthoArkansas looks forward to providing the utmost care to the patient as well as providing clear and timely communication with the scheduling party.
SPECIAL EXAM REQUIREMENTS:
Medical Records:
Complete medical records along with a cover letter are required for each special exam.
You may submit these records two ways:
Email: workcomp@orthoarkansas.com
Mail: 800 Fair Park Blvd., Little Rock, AR 72204 ATTN: Workers Compensation Department
Imaging:
All prior imaging related to this compensable body part must be provided prior to or at the time of appointment.
Procedure for scheduling special exams:
-The Special Exam Request Form and complete medical records will be presented to the physician for review/consideration
-If the physician agrees to the special exam, an invoice will be sent to the requesting party for pre-payment
-Appointment will be scheduled
TO REQUEST A SPECIAL EXAM, PLEASE COMPLETE AND SUBMIT THE ELECTRONIC FORM BELOW.
This information will be sent directly to our workers compensation team, and someone will reach out to you promptly.