. "Appendix C Automated Medical Information Exchange (AMIE) Worksheets for Initial and Review Examinations for PTSD." PTSD Compensation and Military Service. Washington, DC: The National Academies Press, 2007.
The following HTML text is provided to enhance online
readability. Many aspects of typography translate only awkwardly to HTML.
Please use the page image
as the authoritative form to ensure accuracy.
PTSD Compensation and Military Service
Include your name; your credentials, i.e., a board certified psychiatrist, a licensed psychologist, a psychiatry resident or a psychology intern, LCSW, or NP and circumstances under which you performed the examination, if applicable, i.e., under the close supervision of an attending psychiatrist or psychologist; include name of supervising psychiatrist or psychologist.
Signature of Supervising psychiatrist or psychologist: