Become A Medplace Expert

First name*

Last name*

Email*

What type of medical expert are you?*

Please upload your CV (Word or PDF)*

Please provide the state or region you practice medicine in*

Primary Specialty*

Sub-Specialties

Pleasea provide the city you practice medicine in

Please provide the primary zip code where you practice medicine.

Please check this box if you are currently practicing and/or a professor/instructor*

How many years of experience do you have?*

Please check this box if you are board certified.*

Yes

N/A

How man Claims Reviews have oyu performed in the last 12 months?

I'm currently contracted with another company to do case review work

Is there anything else we should know about you or any clarification to this information you'd like to provide?

What areas of care types/reviews are you interested in?*

Expert Witness Review

Case Reviews

Independent Medical Exams

Peer Reviews