CONTACT US
TODAY!
717-901-4225
Schedule Now Email Us Now

Request a Service

Thank you for your interest in scheduling your medical legal services with the IME Care Center. Complete the form below and an IME Care Center representative will contact you shortly. If you need immediate service, please call us at: 717-901-4225.

Request a Service Below

* = Required

* Name

* Phone

* Email

* Type of Injury

*Type of Specialist

Specialist Name

* Type of Service(s)

 IME
 Addendum
 Oral Deposition
 Video Deposition
 Utilization Review
 Functional Capacity Evaluation
 Narrative Letter
 Record Review
 Phone Consultation
 Cold Case Resolution
 Miscellaneous Forms

* Select a Timeframe