What the Examination Includes

Each impairment rating evaluation typically includes:

• Review of medical records and prior reports

• Focused physical examination of the injured area(s)

• Range-of-motion measurements when required by the AMA Guides

• Application of the AMA Guides (4th Edition) methodology

• Use of the Combined Values Chart when multiple impairments are present

• Completion of the DWC-69 Impairment Rating form

When an IR Examination Is Requested

Impairment rating evaluations may be requested when:

• The injured worker has reached Maximum Medical Improvement (MMI)

• An impairment rating is required under Texas Workers’ Compensation

• An independent evaluation is requested for impairment calculations

• Clarification or confirmation of an impairment rating is needed

Requests may come from clinics, insurance carriers, adjusters, or attorneys.

Dr. Neil Szeryk provides independent impairment rating examinations focused on accuracy, objectivity, and clear documentation. With more than 10 years of experience serving as a Designated Doctor in the Texas Workers’ Compensation system, he brings extensive expertise in applying the AMA Guides to the Evaluation of Permanent Impairment (4th Edition).

An Impairment Rating Examination determines the percentage of permanent impairment once an injured worker has reached Maximum Medical Improvement (MMI).

Because impairment ratings play a critical role in workers’ compensation claims, these evaluations require precise clinical examination, correct application of AMA Guides methodology, and detailed documentation. Dr. Szeryk’s experience performing designated doctor examinations provides a strong foundation for delivering reliable, defensible impairment rating evaluations.