Medical Experts Request form for Veteran Disability Cases

Use this form to submit some case facts so we can choose the appropriate medical expert.

Our office will contact you within 24 hours to discuss your case in detail. This submission is obligation-free.
We look forward to speaking with you!

Attorney Name*
Firm Name*
Case name*
Choose an expert specialty for your case*
Email*
Phone Number*
Please provide brief details of your case*
Upload any case materials (OPTIONAL)
Max. file size: 256 MB.
Your submission is of the utmost importance to us and we shall keep your information and documentation confidential. Please be advised that your submission does not guarantee our receipt of this case nor can an assumption be made that we are actively working on this matter until a member of our firm contacts you. We are not responsible for your due dates (if any) or for any original documentation submitted herein. By clicking the submit button, you are agreeing to these terms.
Please click here to view our VA Client Terms & Conditions. If you agree to our terms, then click Yes below.
I agree to the Client Terms & Conditions Agreement*
- Yes