IME Services, Inc.
169 Commack Rd Suite H106, Commack NY 11725

We are required to produce for our Clients' a honest, straight forward and un-biased Narrative Report based medical objectivity. If you want to work with IME Services as a Medical Expert please contact our credentialing department at (631)-392-1501 or you may submit your contact information below.

THE ITEMS LISTED BELOW WILL NEED TO BE ADDRESSED IN ORDER TO COMPLETE THE  PROCESS. YOU MAY SUBMIT DOCUMENTS BY EITHER FAX OR PREFERABLY EMAIL TO IME@IME-SERVICES.COM

Curriculum Vitae(C/V)
W-9 Tax Id or Physicians SSN
Copy of Medical License/ Workers Compensation Number
Other Office Locations
Detailed background report through Health Grades or Choice Point
 

Medical Expert Request Form
(Once Submitted this form will be sent to ime@ime-services.com)

Please provide as much information as possible. Any fields that are marked as required (*)can not be left blank. Once completed you may click the Submit button at the bottom of the page and your request will be processed immediately. If you have any questions you may contact our office at Phone:(631) 392-1501  / Fax:(631) 392-1504.

Requestor Information

*Name*Specialty Medial Group:

Address City State Zip

*Phone Ext Fax Email

Special Instructions