• When you arrive for your appointment, please check in with a staff member. Handicapped-accessible parking is available on the east side of the building.
• If an interpreter is required, they will meet you at check-in. You will then be guided to complete a medical history questionnaire and any other necessary paperwork.

• A Virtual Independent Medical Examination (V-IME) is conducted at one of our partnering physical therapy clinics with the support of an on-site medical professional—typically a physical therapist (PT) or occupational therapist (OT).
• When you arrive at the designated clinic, please check in with a staff member. If an interpreter is needed, they will meet you at check-in. You will then complete a medical history questionnaire before entering the exam room with the in-person PT or OT.
• The physician will join the exam virtually via a high-resolution camera and speakerphone system.

• Please note that your IME is for evaluation purposes only—you will not receive treatment for your condition or injury during this appointment.
• Only you, the physician, the physician’s assistant, and, if applicable, an interpreter will be present in the exam room. Be prepared to review your medical history questionnaire with the physician.
• Your exam may include measurements and assessments related to your injury or condition. The physician will conduct a thorough evaluation, asking questions about your symptoms, medical history, how the injury occurred, and its impact on your daily activities. They may also record their findings through written notes.

• The physician may share preliminary findings with you during the exam and give you an opportunity to ask questions or provide additional information.
• Using the medical records reviewed and the results of your examination, the physician will prepare a detailed report of their assessment and conclusions. This report will be sent to the party who requested your examination—your injury representative.
• Please note that all communication between you and Merit Medical Evaluations, both before and after your exam, must go through your injury representative.
• You are entitled to copies of documentation related to your appointment. Upon request, Merit Medical Evaluations will provide you with copies of any forms you sign during your visit.
• You are also entitled to a copy of the physician’s detailed report; however, you must request it from your injury representative, not directly from Merit Medical Evaluations.

Nebraska

Morrill County Community Hospital
1313 S St.
Bridgeport, NE 69336

Restore Physical Therapy
3213 W North Front St.
Grand Island, NE 68803

Jacobsen Therapy Services
2108 Taylor Ave.
Norfolk, NE 68701

Sandhills Physical Therapy and Sports Rehab
624 West Leota St.
North Platte, NE 69101

Merit Medical Evaluations
12103 Anne St.
Omaha, NE 68137

Iowa

Kinetic Edge Physical Therapy
4700 Mortensen Rd. #101
Ames, IA 50014