Medico Legal Reports - Join Us

Insurance Medical Reporting
Insurance Medical Reporting

Join us

If you are interested in joining our panel of experts to provide medico legal reports, please complete the following application form and we will be in touch shortly. Alternatively, please call Ryan on 0191 3756650 or email ryan.cuthbert@i-m-r.co.uk.

NOTE: All fields are required.

Customer Details

Title

First Name

Surname

Clinic/Hospital

Department

Address 1

Address 2

Town

County

Postcode

Contact Details

Telephone

Fax

Email

Consulting Details

Specialities

Medico cost with notes (£)

Medico cost without notes (£)

Non-attendance fee (£)

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