Pre-instruction - Request for Experts

Please complete the following Pre-instruction/Medical Expert request form and we will provide you with a list of nominated experts within 1 working day.

Solicitor Details

Solicitor *
Address *
Town *
County *
Postcode *
DX
Branch
Reference
Worksource
Telephone *
Fax
Fee Earner
Direct Dial
Mobile
Email *

Client Details

Client *
Address *
Town *
County *
Postcode *
Date of Birth
Telephone *
Mobile
Email

Incident Details

Date of Accident *
Type of Accident *

Injury Details

Specialist Required *
Any special requirements for this client

Third Party Details

Insurer *
Address *
Town *
County *
Postcode *
Reference
Amro Scheme *
Contact *
Telephone *
Email

Medical Records Application

Are the client's medical records required for this case: *
Instructing Party to source records: *
IMR to source records: *
If records to be sourced, copies to be passed to: *

News

‘Compensation culture’ a myth say researchers - 14/05/2008... Read More

Workplace injury rehabilitation - 29/04/2008... Read More

IMR becomes party to the Medical Reporting Organisation Agreement - 17/04/2008... Read More

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