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This resource is designed to simplify use of the AMA Guides to the Evaluation of Permanent Impairment and improve the accuracy of ratings. The Lower Extremities. ▫ Guides has many inconsistencies. ▫ If more than one method can be AMA Guides 5th Edition. ▫ Required to use Guides. The Combined Values Chart is utilized only for combination of whole person impairment ratings, not upper extremity ratings, lower extremity ratings or other
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