Providing Services for: Neurology, Providing Services for: Neurology, Litigation Support, Occupational Medicine, & Environmental Medicine Consultations, Clinical Evaluations, Treatment, Electromyography for Suspected Neurological Illness Secondary to Workplace Injuries/Chemical Exposure Injury-CA NY
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ADMINISTRATIVE OFFICE:
35 Miller Avenue, #331
Mill Valley, CA 94941
Call: (888) 473-7005
Click Here for Our
Office Addresses
 
 
Clinical Offices in SF Bay area:  San Francisco,
East Bay (Richmond), North Bay (Petaluma),
Sacramento, and Eureka area (Arcata)
 

NEOMA

 
 

Click Here to Schedule An Appointment

Fill out form below for General Questions

ACOEM

American Academy of Neurology

Providing Services for: Neurology,
Occupational Medicine, & Environmental Medicine Consultations, Clinical Evaluations, Treatment, Electromyography for Suspected Neurological Illness Secondary to Workplace Injuries or Chemical Exposure Injury,
Independent Medical Examinations,
Medical Record Review, Utilization Review
& Consulting/ Litigation Support to Industrial, Legal, Government, Pharmaceutical And Academic Institutions. Licensed in California (CA), New York (NY), and Massachusetts (MA).
 

Board-Certified in both Neurology and Occupational and Environmental Medicine

Jonathan S. Rutchik, MD, MPH, is one of the few physicians in the USA who is board certified in both neurology and in occupational and environmental medicine. He also has a masters in public health.

Please review his curriculum vitae.

He has been practicing medicine since 1995 and in Northern California since 2000, specializing in industrial, occupational and environmental neurology.

He treats patents with Workers Compactions claims in the state of California in five locations: San Francisco, East Bay (Richmond), North Bay (Petaluma), Sacramento, and Arcata (Humboldt county).

Patients are primary referred from primary treating physician, insurance companies and attorneys.

Dr. Rutchik has relationships with most of the California workers compensation medical provider networks (MPNs).

If you are a California Worker's Compensation Medical Provider Network representative, a Nurse case manager, Claims Adjuster or Attorney, and would like to inform or recommend Dr. Rutchik for an MPN where he is not listed, please contact us.

Dr. Rutchik is able to evaluate patent without a Workers Compaction case. Please
contact his off for more information.


Forms & Questionnaires



For New CONSULTATION PATIENTS

FOLLOW THESE STEPS:

Please fill out the following forms and either fax them to our office at 415.381.3131 or scan and email them to: info@jonathanrutchik.com

ELECTRONIC FORMS AND QUESTIONNAIRE SUBMISSION

2014 NEW PATIENT QUESTIONNAIRE

STEP #1.

DOWNLOAD AND COMPLETE FORM ONE

New Patient Registration Form

STEP #2.

DOWNLOAD AND COMPLETE EITHER A. OR B.

QUESTIONNAIRE A (PATIENTS WITHOUT CHEMICAL EXPOSURES)

QME/IME/Neurology Consultation Questionnaire

OR

QUESTIONNAIRE B (FOR THOSE WITH CHEMICAL EXPOSURES)

Occupational and Environmental Neurology Questionnaire
(FOR PATIENTS WITH CHEMICAL EXPOSURES ONLY)

OR DOWNLOAD ALL THREE FORMS

Download all now >

STEP #3:

NOTE LOCATION ADDRESS AND MAP QUEST DIRECTIONS

STEP #4.

REVIEW DR RUTCHIKS PRINTABLE VERSION OF HIS CV.

All professional correspondence:
35 Miller Avenue, #331 Mill Valley, CA 94941
Office Telephone: 415-381-3133
Office Fax: 415-381-3131