independent medical evaluation

solicitors & other organisations

We welcome queries and requests for assessments for your clients. Please send us an enquiry by clicking the link:

Independent Medical Evaluation Request

Name of Company or Law Firm

Name of Person Booking

First Name

Last Name

Telephone of Person Booking

Email of Person Booking

Name of Client (to be assessed)

First Name

Last Name

DOB / Age of Client

What is the nature of the matter?

Other (please specify the nature of the matter below):

Location for Appointment

Other (please specify your preferred location below):

Date of Appointment Requested

Other (MM/YYYY):

Additional Info