Opening Hours

We enjoy getting to know our patients and building meaningful relationships


8:00am - 4:30pm


8:00am - 4:30pm


8:00am - 4:30pm


8:00am - 4:30pm


8:00am - 3:30pm

Home|Independent Medical Examinations

Independent Medical Examinations

An Independent medical examination (IME) is an evaluation that is performed by a physician who has not been previously involved in the patient’s care or treatment. This evaluation is typically requested by an attorney or insurance carrier to determine the cause, extent and appropriateness of medical treatment, liability for the cost of the treatment, whether the individual has reached a maximum level of benefit from treatment and, if so, whether any permanent impairment remains after the treatment.

A copy of the patient’s medical records regarding their treatment for the condition is generally forwarded to the provider, in advance, for their review. In addition, a list of questions to be specifically addressed is also forwarded to the provider performing the IME. The provider then performs a detailed examination as well as a review of the medical records after which he forwards a report of his determination to the party who requested the IME.

An Impairment Rating may also be requested as a part of the IME. This is a determination made in accordance with guidelines outlined by the American Medical Association. This rating provides information regarding the patient’s level of permanent disability as a result of the injury. This rating is a percentage and can refer to the patient’s entire body or to the specific body part affected, depending upon the degree of disability that has occurred.

Dr. Dhuna is the only regional neurologist who is Board Certified by the American Board of Independent Medical Examiners (ABIME). Please contact our main office in West Burlington, Iowa, for more information or to schedule an IME.


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