* = Required Information

Consulting areas of interest

Personal Injury Medical Malpractice
Disability All areas
Workers' Comp

Personal Information

* Full Name
* Address
* City
* State
* Zip
* Email
Work Phone
Cell Phone

License # State Exp. Date
1.
2.
3.

Date of Birth
mm/dd/yyyy
Tax ID or SS#

Specialty: Sub-Specialty:
1. 1.
2. 2.
3. 3.

Contact Person
Email Address
 
Consultant Application
 

What we need to get started

Curriculum Vitae
Professional liability insurance face - sheet
My professional liability insurance does not cover me for work outside my medical group. I would like information about how to get professional liability coverage for my consulting

Step 1

A credentialing check will be performed.

Step 2

A Consultant Package will be mailed to you, to include, but not limited to:

As an expert, you are well compensated for your time to study, evaluate and testify in your area of expertise. So, whether you are a psychiatrist, orthopedist, neurosurgeon, internist, Occupational, Physical, Respiratory, or Speech therapist or any other healthcare specialist, there is an important role for you with a law firm, insurance company, in an arbitration hearing or court room near you.