Scheduling:

Please include the following information when scheduling an appointment to see one of our physicians.

• Patient name, including middle initial
• Date of birth
• Treating physician
• Reason for appointment, i.e. follow-up, injury related issues, etc…
• Return contact information/relationship to the patient

Medical/Legal:

Please include the following information when coordinating work on a medical/legal case with one of our physicians.

• Person requesting:
• Firm Information:
• Whom do you represent?
• Legal Service Requested and timeframe:
• Case Name:
• Case Number:
• Court:
• Discovery Date:
• Hearing/Trial Date: