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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


Physician Intake Form




IME, Inc. would like to make it convenient for you to become one of our expert specialists. Please complete either the Mail/Fax form or the Online Form to become one of our specialists.

PHYSICIAN INTAKE FORMS: Online Form

                                                     (pdf)

Fax/Mail Form

Some of the above documents are in PDF format (Adobe Acrobat). You must download the Adobe Acrobat Reader in order to view and print these documents.  Right click and select "Save target as" to save the file to your desktop.



Independent Medical Evaluations, Inc. Corporate Office
IME, Inc.
211 Beaumont Place
Traverse City, Michigan-MI, USA 49684
Phone: (231) 929-1474
Toll-Free: (800) 968-4637
Fax: (231) 929-4356
Email: info@imei.com




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(800) 968-4637