Rx: Medical Expertise "The Attorney's Superior Expert Locator"

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APPLY AS AN EXPERT

If you are an expert who would like to be utilized in our database you can join for one year for 79$.

Your expert credentials will be available to choose from for thousands of attorneys who utilize our locating service. Your activity as a testifying expert is carefully guarded from anyone other than an attorney. After receipt of your fee you can send your C.V. and fee schedule via email or fax to be immediately entered into our database.

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APPLY TODAY!
Please complete the form below:

Full Name

Has your license in any state been under investigation?
Yes No	If Yes, explain:
Has your narcotics license in any state ever been revoked, suspended, or relinquished to avoid such an action?
Yes No	If Yes, explain:
Have your privileges at any work site ever been limited, revoked or suspended?
Yes No	If Yes, explain:
Has your membership in the medical staff at a work site ever been revoked or voluntarily surrendered to avoid such an action?
Yes No	If Yes, explain:
Has your membership in any professional society ever been revoked or voluntarily surrendered to avoid such action?
Yes No	If Yes, explain:
Have you ever been censored or reprimanded by a professional society?
Yes No	If Yes, explain:
Have you ever been convicted of a felony or misdemeanor?
Yes No	If Yes, explain:
Have there ever been any sexual misconduct charges brought against you?
Yes No	If Yes, explain:

How many years have you been in practice?

Board certified?	Yes No

Name of boards

Social security number

License number

Is more than 5% of your work done as a testifying expert?	Yes No
	comments:

Payment Options:	check or credit cards accepted

Click on the CONTINUE button to process payments through PayPal OR Click on the PRINT button to send in this completed application along with a check in the mail.

Disclaimer: The testifying expert is entirely responsible for the quality of their work product.

The Attorney's Superior Expert Locator

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Rx: Medical Expertise • 91 Guygrace Lane • Webster, NY 14580

Phone: 585.787.0143