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Use this form when a patient has reached Maximum Medical Improvement and to render an opinion on permanent impairment, if any. Completion and submission of this form is required when making a claim for Permanent Disability Schedule Award.An impairment rating is to encompass each covered illness that has reached MMI according to the rating physician. The narrative report must identify the IW's permanent impairment. The IR worksheet must be sent with the narrative report. Doctor's Initial Report, file this form at intervals of 45 days during continuing treatment, unless change of condition necessitates additional reporting. 7.2.1 Your Attorney Will Ask the Doctor for an MMI Report and Permanent Impairment Rating. 7.2. In most states, a person who has reached MMI and yet who is totally disabled is eligible to continue to receive temporary total disability benefits. Your doctor will file an opinion using the Board form C-4. Your doctor will file an opinion using the Board form C-4.