EXPERT DOCTOR
Medical expertise is an evaluation process carried out by an independent medical expert to provide an impartial opinion on an individual's state of health. Whether in the context of a workplace accident, legal dispute or disability assessment, this detailed analysis enables employers, unions, insurance companies and the courts to obtain clear, well-founded conclusions. Unlike the attending physician, the expert physician is not involved in the treatment, thus guaranteeing a neutral assessment that complies with ethical and legal standards.
Services offered by a medical expert
Independent assessments for employers, workers and insurance companies
Our medical experts provide neutral, detailed advice.
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Medical and administrative support for companies.
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Management of absence and disability files (CNESST, salary insurance, SAAQ, IVAC, preventive withdrawal).
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Remote consultation and support for employers and managers.
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Designated physician service.
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Request and analysis of medical documents held by the CNESST.
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Transmission and follow-up of medical records to facilitate decision-making.
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Opinion on medical documents.
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Evaluation and validation of medical files in the event of disability or litigation.
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Analysis of: medical notes, paraclinical test results, medical certificates, hospital records.
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Representation before the courts.
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Occupational medicine consultation.
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Occupational risk prevention and management.
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Support for compliance with OHS legal requirements.
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Medical expert testimony before: tribunal administratif du travail (TAT), tribunal d'arbitrage (TAQ), civil courts.
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Visiting and evaluating workstations.
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Analysis of an employee's functional capabilities on return to work.
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Recommendations for workstation adaptation or ergonomic modifications.
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Drug and alcohol testing.
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Screening test for suspected substance abuse in the workplace.
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Verification of abstinence when returning to work.
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Compliance with legal standards in regulated sectors (e.g. transport).
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CNESST medical expertise and litigation.
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Medical assessment to arbitrate disagreements between employer and employee.
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Independent expertise to determine: medical diagnosis, date of consolidation of an injury, functional limitation. Permanent impairment of physical and mental integrity.
Our medical expertise services
CNESST and disability
At Clinique Omicron, fast access and personalized service for every medical consultation are the hallmarks of our commitment to excellence in healthcare. Our specialists and family doctors offer tailored diagnoses and treatments, prioritizing your well-being and overall health. With flexible appointments and detailed attention, Clinique Omicron stands out for its commitment to providing exceptional quality of care, backed by an experienced and empathetic medical team.
Documents to give to the doctor
Clinique Omicron is committed to ensuring the confidentiality and security of the medical and administrative information it transmits. This is why we have set up a secure portal for our customers to transmit documents in complete confidentiality.
This letter must contain a summary of the circumstances that led to the disability, the diagnosis(es) accepted by the CNESST or the insurer, the examinations undergone by the worker and the questions for which an answer is desired. Generally speaking, the questions addressed to the physician concern the diagnosis, the date or foreseeable period of consolidation of the injury, the nature, necessity, sufficiency or duration of the care or treatment administered or prescribed, as well as the existence or percentage of permanent impairment of the worker's physical or mental integrity and an assessment of the worker's functional limitations.
To carry out the medical expertise, the doctor will need medico-administrative documents, depending on the nature of the file. For a non-CNESST file, this includes all medical bills, follow-up reports from the various health professionals and notes relevant to the assessment. For a CNESST file, the documents required are the worker's declaration, CNESST progress notes, medical documents relating to the employment injury and any other notes relevant to the assessment.
Steps
Medical expertise process
Step 1
Appointment request
Contact and planning of the expertise.
Appointment request
Step 2
Appointment confirmation
Validation of the date and methods of consultation.
Appointment confirmation
Step 3
Medical record transmission
Sending of the terms of reference and documents required for the evaluation.
Medical record transmission
Step 4
Consultation with the medical expert
Clinical examination and file analysis.
Consultation with the medical expert
Step 5
Drafting and sending the expert report
Delivery of a detailed opinion answering the questions in the mandate.
Drafting and sending the expert report
Step 1
Appointment request
Contact and planning of the expertise.
Step 2
Appointment confirmation
Validation of the date and methods of consultation.
Step 3
Medical record transmission
Sending of the terms of reference and documents required for the evaluation.
Step 4
Consultation with the medical expert
Clinical examination and file analysis.
Step 5
Drafting and sending the expert report
Delivery of a detailed opinion answering the questions in the mandate.
Frequently asked questions
Medical expertise plays an essential role in the assessment of workers' compensation, disability and litigation cases. Whether you're an employer, employee or insurer, our FAQ provides clear answers on the process, obligations and implications of medical expertise.
A medical assessment is an evaluation carried out by an independent medical expert to give an opinion on an individual's state of health. It is often requested by employers, lawyers, insurance companies or the CNESST to evaluate a medical condition related to a work accident or disability.
Unlike the attending physician, the expert physician does not provide care. His role is to evaluate the patient's medical condition in a neutral and impartial manner, and to answer the questions in the expert's mandate. He must comply with the Code of Medical Ethics (articles 65-69).
Medical expertise is required when :
- An employer or insurance company wants a second opinion on a diagnosis.
- A worker is off work for an extended period and the consolidation of his injury is uncertain.
- There is a dispute between an employee and an employer concerning a CNESST or disability claim.
- A lawyer needs medical expertise in a medico-legal case.
The medical expert analyses :
- Medical diagnosis.
- The foreseeable date or period of consolidation of an injury.
- The necessity, duration and adequacy of prescribed treatments.
- Permanent physical or mental injury.
- Assessment of the worker's functional limitations.
Expertise follows a structured process:
- Appointment request - Scheduling an appointment with a medical expert.
- File transmission - Sending the mandate and the necessary medical documents.
- Consultation with the expert - Clinical examination and file analysis.
- Report writing - Delivery of a detailed report answering the questions in the terms of reference.
Yes, in the event of disagreement with the conclusions of a medical expert, an employer or employee can request a second opinion from another medical expert.
Yes, the medical expertise report can be used before the Tribunal administratif du travail (TAT), arbitration tribunals and civil courts.
Costs are generally borne by the claimant (employer, insurer, lawyer, CNESST, etc.). However, in certain cases, they may be reimbursed in accordance with current regulations.
