Dr. Sofen has been performing Workers’ Compensation evaluations since 1986. He currently acts as a Qualified Medical Examiner, an Agreed Medical Examiner, and an Independent Medical Examiner.
Forms
New Workers’ Compensation Patient Packet
We need considerable information not only about your injury, but your current and previous employment. This four-page form should help you answer the majority of our questions. Please complete this form focusing on your dermatological injury. While it is helpful for us to understand your other claims, Dr. Sofen is only certified as a Qualified Medical Evaluator for dermatology.
DEU Form 100: Employee’s Permanent Disability Questionnaire
Complete this form to provide us basic demographic and claim information. Please note that this form is maintained by the DWC. Please check with the DWC’s site for the most up-to-date version of this document (revision 11/17/2008 as of this writing).
DEU Form 101: Request for Summary Rating Determination
Complete this form if you are unrepresented, as this form is required when we submit our report to the DWC. Please note that this form is maintained by the DWC. Please check with the DWC’s site for the most up-to-date version of this document (revision 11/17/2008 as of this writing).
