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Independent Medical Evaluations, Inc.

A National Company Providing
Comprehensive Medical Legal
Services In All 50 States


(800) 968-4637     info@imei.com


MEDICAL LEGAL SERVICE ORDER FORMS


 

 

IME, Inc. would like to make it convenient for you to order services from us. Please complete either the Mail, Fax, or Online Form for the services that most interest you.

NEW! SCHEDULE AN IME: Online Form            (html)
                                                      Fax/Mail Form       (pdf)
Information Release Form            (pdf) Info Release Form
Pain Drawing                                 (pdf) Pain Drawing         (.Doc)
Pain Inventory                              (pdf) Pain Inventory        (.Doc)
   

Some of the above documents are in PDF format (Adobe Acrobat). If you don't already have Adobe Acrobat Reader, you must download the Adobe Acrobat Reader here in order to view and print these documents.  Right click and select "Save target as" to save the file to your desktop.

Upon receipt of the completed service form, a representative from Independent Medical Evaluations, Inc. will contact you to verify your order, answer any questions, and discuss any specific issues that you may have. If you have not been contacted within 48 hours of submitting your service order form, please contact us to ensure that we received your transmission.

Should you have any questions before completing and submitting the forms please contact IME, Inc. using any of the following communication paths:

Fax:          (231) 929-4356

Mail :    IME, Inc.
                  Lee Plaza, 3881 M-72 East
                  Williamsburg, MI 49690

For clarification, call: (800) 968-4637

 

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Independent Medical Evaluations, Inc. Corporate Office
IME, Inc.
Lee Plaza, 3881 M-72 East
Williamsburg, MI 49690
Phone: (231) 929-1474
Toll-Free: (800) 968-4637
Fax: (231) 929-4356
Email: info@imei.com




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(800) 968-4637