Understanding Independent Medical Examinations

Patient Education About IMEs and Your Rights During the Process

An Independent Medical Examination (IME) is a medical evaluation performed by a neutral physician to provide objective medical opinions. Understanding what to expect can help you feel more prepared and confident during the process.

What is an Independent Medical Examination?

Purpose of IMEs

  • Provide objective medical opinions
  • Evaluate extent of injuries or disabilities
  • Determine causation relationships
  • Assess treatment necessity and future needs

Who Requests IMEs

  • Insurance companies
  • Workers' compensation carriers
  • Legal attorneys
  • Government agencies

Types of IME Evaluations

  • Workers' compensation injuries
  • Personal injury claims
  • Disability benefit determinations
  • Fitness for duty assessments

Independence & Objectivity

  • Examiner has no treatment relationship with patient
  • No financial interest in case outcome
  • Provides unbiased medical opinions
  • Based solely on medical evidence and examination

What to Expect During Your IME

Before the Examination

  • You'll receive appointment details and location
  • Bring photo ID and list of current medications
  • Arrive on time and dress comfortably
  • Bring any assistive devices you normally use

During the Examination

  • Review of your medical history
  • Discussion of symptoms and limitations
  • Physical examination related to your condition
  • Questions about daily activities and work capacity

Length & Process

  • Typically lasts 30-90 minutes
  • No treatment is provided during IME
  • Answer questions honestly and completely
  • Ask for clarification if you don't understand

After the Examination

  • Doctor will prepare a written report
  • Report sent to requesting party, not you directly
  • You may request a copy through your attorney
  • Follow up with your treating physician as needed

Your Rights During an IME

Right to Respectful Treatment

You have the right to be treated with dignity and respect throughout the examination process. The examiner should explain procedures and answer your questions professionally.

Right to Privacy

The examination should be conducted privately. You may request a same-gender examiner and can have a support person present in some situations.

Right to Understand

You have the right to understand what's happening during the exam. Ask questions if instructions aren't clear or if you need clarification.

Right to Refuse

You can refuse inappropriate requests or examinations that seem unreasonable or unrelated to your condition, though this may have legal consequences.

Right to Accurate Information

The examination should be documented accurately. You can request corrections if you believe something was misunderstood or recorded incorrectly.

Right to Legal Representation

You have the right to consult with your attorney before, during, or after the IME process if you have legal representation.

Frequently Asked Questions

Do I have to attend an IME if requested?

Generally yes, especially for workers' compensation or insurance claims. Failure to attend may result in loss of benefits, but consult your attorney if you have concerns.

Will the IME doctor become my treating physician?

No. IME doctors provide evaluations only and do not establish treatment relationships. Continue following up with your regular treating physicians.

Can I bring someone with me to the IME?

This depends on the specific circumstances and jurisdictional rules. Check with the requesting party or your attorney about whether a support person is allowed.

What should I do if I disagree with the IME report?

Discuss the report with your attorney or treating physician. You may be able to request clarifications or seek a second opinion, depending on your case circumstances.