Independent Medical Evaluation (IME)

If there are work-related performance issues or an injury, IME’s may be conducted to determine the cause, extent and medical treatment recommended.  This evaluation may be conducted at the request of an employer or an insurance carrier to obtain an independent opinion of the clinical status of the individual.  An IME provides a thoroughly objective, impartial assessment of a client’s diagnoses, prognosis and recommendations for treatment and recovery.  An IME occurs when the physician and health care team have not previously been involved in a person’s care. There is no ongoing doctor/therapist-patient relationship.

Based on a comprehensive review of the individual’s history, an extensive interview process and an objective medical assessment, Health Upwardly Mobile provides a detailed, highly defensible report.

Independent Medical Evaluation (IME) Services

IME services at HUM are individualized and tailored to each organization’s needs. The IME process can include the following:

  • Nursing Assessment
  • Psychological/Social Work Assessment + testing
  • Medical Assessment
  • Chain of custody drug screen
  • Report

Nursing Assessment

1-2 hour appointment with a Registered Nurse

During this appointment, presenting issues and concerns will be addressed and individuals will complete a bio-psycho-social-spiritual questionnaire. The comprehensive questionnaire will address previous and current physical and/or mental health issues, family history, past and current work issues, substance use, prescription medications, chronic pain issues (if applicable)

Psychological Assessment

1 or 2 hour appointment with a Registered Psychologist + Psychological testing

During this appointment, the therapist will gather information on current issues and concerns, discuss significant relationships, mental health diagnoses (e.g., depression, anxiety), substance use, and chronic pain issues, if applicable.  This assessment is holistic and focuses on the individuals’ bio-psycho-social-spiritual health to learn what issues they have been having and what they have or have not been doing for coping.

In addition to the assessment interview, individuals will complete psychological testing.  Each test will take approximately 30-50 minutes to complete and measure areas including: memory, mood and anxiety disorders, personality disorders, substance use, social support, self-harm, perception of self and relationships.  The specific tests that will be used will be determined when the IME is scheduled, based on the presenting issues. Results of the tests will be included in the IME report.

Medical Assessment

1-hour appointment with a Medical Doctor

Prior to this appointment, the medical doctor will review all workplace documentation and any additional information that has been provided. During this appointment, current issues and concerns will be explored through a clinical interview with an accompanying physical examination.  Medications will be reviewed and diagnoses clarified.  An individualized treatment plan and recommendations will be outlined, tailored to the client’s specific needs in context with the workplace issues for maximizing the individual’s health potential.

Chain of Custody Drug Screen

If this is required, an appointment will be booked for the individual participating in the IME as part of the assessment process. Results will be provided to HUM, reviewed, and incorporated into the IME report.


The IME report can be a detailed, comprehensive summary of all of the information gathered about the individual, along with diagnosis(es) and treatment recommendations. The amount and type of information contained in the report can be tailored depending on what is needed.

To talk more about your IME needs, please contact us at 403-536-2480 or