Form 106 is published by the Department of Workers’ Claims and is an authorization to release medical records. The completed Form 106 permits KEMI to obtain copies of medical records necessary for the review of your workers' compensation claim.
Form 106 is published by the Department of Workers’ Claims and is an authorization to release medical records. The completed Form 106 permits KEMI to obtain copies of medical records necessary for the review of your workers' compensation claim.