A CNESST médecin-conseil or dentiste-conseil uses this written request (information médicale complémentaire écrite, or IMCE) when they need clarification from the treating health professional on a worker's file. CNESST fills in the worker details, the nature of the request and your identity; you answer in section 4. Section 202 of the LATMP gives you 10 days from receipt to reply.
Only the treating health professional (professionnel de la santé qui a charge) completes section 4, Rapport du professionnel de la santé qui a charge du travailleur, and signs it. CNESST completes sections 1 to 3, and the requesting médecin-conseil signs the nature of the request.
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Ten days. Section 202 of the LATMP requires the treating health professional to provide the report CNESST requests, on the prescribed form, within 10 days of receiving the request. The CNESST guide repeats that you supply the clarification asked for by the médecin-conseil or dentiste-conseil within 10 days of receipt.
CNESST's page says the form is used by the CNESST médecin-conseil when they need clarification from you, and you receive it as the treating health professional of a worker with an employment injury. The guide adds that the request can come from the médecin-conseil or dentiste-conseil, who signs section 2.
Yes. RAMQ code 09929 is printed in the signature block of section 4, and CNESST pays the reply. Use the original form CNESST sends: its website copy is for information only, and CNESST states that only the original will be accepted.