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Referral Form

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Prizm Medical Resources, Ltd. provides comprehensive Independent Medical Evaluations (IME), Medical
Record Reviews, Peer/Utilization Reviews, Diagnostic Film Reviews, Fitness for Duty Evaluations,
Psychological/Neuropsychological Evaluations and Vocational Evaluations across the U.S.

© 2022 by Prizm Medical Resources, Ltd.

1528 Walnut Street, Suite 1804, Philadelphia, PA 19102

Tel: 855-239-5138

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