Impairment Rating Exams


What is an Impairment Rating Exam?

An Impairment Rating Examination (IRE) is a detailed medical evaluation used to determine whether a worker has any permanent loss of function after a work-related injury or occupational illness. This exam plays an important role in the workers’ compensation claim process and helps ensure fair and accurate documentation of your condition.

At Puget Sound Work Injury Clinic, our providers perform impairment ratings using evidence-based guidelines and a thorough, patient-focused approach.

Puget Sound Work Injury Clinic - Impairment Rating Exam

Why an Impairment Rating May Be Needed

An impairment rating is typically requested when:

• Your condition has reached Maximum Medical Improvement (MMI)
• Additional treatment is unlikely to significantly change your outcome
• Your claim requires documentation of any permanent impairment
• A disability award or claim closure is being considered
• Washington State Department of Labor & Industries or another insurer requests an evaluation

This examination helps provide objective medical findings that support the next steps in your claim.

Your appointment may include:

• A comprehensive review of your medical records
• Discussion of your injury history and current symptoms
• Measurement of strength, motion, and function
• Evaluation of how your injury affects daily activities
• Standardized assessment using American Medical Association impairment guidelines

The exam is focused, structured, and designed to accurately reflect your current functional status.

What to Expect During the Exam

Following your examination, we will:

• Prepare a detailed impairment report
• Assign a rating when appropriate
• Submit documentation to the appropriate parties
• Help ensure the findings are clearly explained

Our goal is to provide clear, objective information that supports both your recovery journey and the claim process.

After the Evaluation

Our team is committed to:

• Clear communication
• Careful documentation
• Respect for your concerns
• Working closely with all involved parties
• Helping you understand your rights and options

If you have questions about whether an impairment rating is appropriate for your situation, our team is here to help guide you through the process.

We understand that impairment ratings can feel like an important milestone in your claim.

Our Approach