Online Form

Schedule an Appointment With CORE IME Today

Thank you for choosing CORE.

For online scheduling, please complete the information that applies and submit.

CORE will reply within 24 hours of your request.

Upon scheduling, CORE will provide you a confirmation of the appointment with the fee schedule. If requested, we will also send notification of the scheduled IME to all parties.

Client Requesting Service*
Client Contact Information*
Service Requested*
- IME
- Medical File Review
- Film Review
- Diagnostic Test
- Deposition/Legal Consultation
Physician/Specialty
Scheduling Preference/Case Deadlines
Type of Case
Claim # or FIle #
Date of Loss
Claimant Name
Claimant Address
Claimant Date of Birth
Allegations
Plaintiff Attorney
Defense Attorney
Specific Details or Instructions
CORE to send IME notification to:
- Claimant
- Plaintiff Attorney
- Defense Attorney
- Client Only