Your Client’s Case

Medical Legal Consultation

Please complete the following information for a discussion about your client’s needs:

Attorney’s First Name(Required)

Last Name(Required)

Name of Law Firm(Required)

Email(Required)

Phone(Required)

Preferred Method of Contact

Brief Summary of Case

Services Requested

Medical Record Chronology

Preliminary Medical Summary Report

Complete Medical Summary With Medical Opinions

IME Rebuttal Report

Answers to Specific Medical Questions

Liaison to Treating Physicians

Deposition Preparation

Time Frame

How Did You Hear About Us

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