WCB IME Application

Workers’ Compensation Board Independent Medical Examinations
​In September of 2001, Governor George E. Pataki signed into law a new measure requiring all medical providers to seek authorization from the Chairman of the Workers’ Compensation Board (WCB) in order to perform independent medical examinations (IMEs).  The new law took effect March 20, 2001.  
To streamline the authorization and renewal process, the NYS Workers' Compensation Board has transitioned to a fully electronic online application process, which is now available to all provider types. Please see application instructions here:
As a special benefit to NYSOMS members, this service is offered free of charge (nonmember fee is $200).

Non-NYSOMS members: $200 processing fee
OR become a NYSOMS member by filling out a NYSOMS application with appropriate dues.

Additionally, payment can be sent by check to:
        NYSOMS
        WCB Review Committee
        NYIT de Seversky Mansion, Room 107
        Old Westbury, NY 11568
For information regarding the status of your WCB application, please call NYSOMS at (212) 261-1784

Additional Information
It is necessary that all office addresses listed on the MR/IME-1 are registered with the NYS Office of Education. Failure to register all office addresses will delay processing of application by the Workers Compensation Board.

To register an address call NYS Dept of Education (518) 474-3817 ext 410 with the following information: Physician’s name, license number, primary address, date of birth, last four digits of social security number and new address. There is a $10 fee per address.

NYSOMS can process our portion of the application while the address registration is pending. However, WCB will not approve the application unless all addresses are registered.