Civil Case Request - Godoy Medical Forensics, Inc

Attorney Information

All areas marked with an astreisk (*) are required in order to submit a case.

Name*

First Last

Email*

Cell Phone

Direct Line

Firm Name*

Address*

City State

General Case Information

Expert Level

Consult/Merit Screen
Consulting w/possible Testimony - Nurse
Consulting w/possible Testimony - Doctor

Notice About Expert Levels*

"Consulting Only" - these are nurses who do not testify.

"Consulting w/possible testimony - nurse" - the nurse who reviews your case will be able to testify if needed.

**If you discussed having a nurse review first, please choose either Consulting Only (for any nurse) or Consulting w/testimony (for a testifying nurse).

Ok, thanks

Anticipated Testimony Date

Statute of Limitations Expiration Date

Verbal Report Needed By*

Rush fees may apply, please see our fee schedule for details

Verbal Report Needed Date is*

Written Report Needed By

Rush fees may apply, please see our fee schedule for details

Case Information

Case Type*

PLEASE SELECT ONE, regardless of your answers below.

Representation*

Case Name*

Defendant Name*

First Last

Plaintiff Name*

First Last

Additional Details

Short Description of the Case*

We prefer that you summarize the case here even if we've spoken on the phone, but you can always write "please contact me" as an option.

Other Thoughts, Concerns or Questions

Check here to acknowledge statement below*

Acknowledged

All reports generated are delivered by email. All efforts will be made by Godoy Medical Forensics staff to ensure delivery of the report in a timely manner. We recommend that you contact us if your report is not received by the due date you specify above. By checking here, you acknowledge the risks of not receiving the report and agree to pay in full as long as reasonable efforts have been made to ensure delivery.

How did you hear about us?*

Which Conference? (optional)

Who referred you? (optional)

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Upload Files & Submit Case

Please upload discovery/records for review here. If the file upload takes too long, submit the form without attachments. This is a secure site and only staff of Godoy Medical Forensics has access to the files. The submit button below works, even though the color does not change.

Two things will happen when you submit this form:

1) You will immediately get an email confirmation.

Do NOT navigate away until at least one of these things happen or we will not receive the form.