Orthopedic Expert Case Screening
Free preliminary case screening and conflict check for attorneys. Please complete all fields for an initial review.
Attorney Name
*
First Name
Last Name
Law Firm
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Representation
*
Plaintiff
Defense
Case Caption (if available)
Plaintiff/Patient Name
*
Defendant Physician(s) Name(s)
*
Hospital/Facility Name
Relevant Companies (for conflict checking)
State/Jurisdiction
*
Type of Orthopedic Issue
*
Hip
Knee
Joint Replacement
Revision
Infection
Fracture/Trauma
Arthroscopy
Other
Approximate Date of Treatment/Surgery
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Brief Case Summary
*
Specific Question or Issue for Review
*
Important Deadlines (e.g., expert disclosure, deposition, trial dates)
Estimated Medical-Record Page Count (if known)
Is imaging available?
Yes
No
Submit for Preliminary Review.
Should be Empty: