File Upload – IME Watchdog

Schedule a Watchdog

Law Firm Name

Law Firm Contact Name

Law Firm Contact Number

Law Firm Contact Email

Client Name

Case ID

Client Contact Phone

Date(Required)

Time

Physician's Name

Please provide IME location

Street Address Address Line 2 City State ZIP Code

*Additional Fees for Travel Outside of NYC*

Physician's Speciality

Do you require transportation services(Required)

Yes

Please provide pickup location

Street Address Address Line 2 City State ZIP Code

Do you require foreign language assistance?(Required)

Yes

*Many IME Physicians require a third party translator, please be sure inform the defense if your client requires translation services*

Please select language(Required)

Hebrew

Spanish

Russian

Other

Additional Details

Upload Documentation

Max. file size: 256 MB.

IME(Required)

Price:

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name