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Logo - Read Reports, Medical Review Services

medical review services

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If you have any questions please give us a call at 845-255-3267

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  • CONTACT INFORMATION

    How can we get in touch with you if we have any questions?

  • SERVICE REQUEST (CHECK ALL THAT APPLY)

  • TYPE OF CLAIM

  • Please provide the NYSWCB# or indicate if it has not yet been indexed. This is required for our office to pull medical records from the NYS Electronic Board File.
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    If eCase access is granted we will retrieve medical records, demographics, parties of interest from the board file. All we need from you are the injury sites and issues to be addressed! If you will not be granting eCase access, please provide as much detail as possible and forward medical records when available.

  • SPECIALTY REQUESTED

  • CLAIMANT & CLAIM DEMOGRAPHICS

    Please provide claimant & claim demographics. Our office will reach out to you with any questions. If this is a NYSWC claim and we are granted eCase access we will look for any missing demographics with the board file and confirm with you.
  • Full Name
  • Street Address
  • Include Address
  • Include Address
  • Include Address

  • PARTIES OF INTEREST

  • please enter N/A if claimant is not represented

  • ISSUES TO BE ADDRESSED (CHECK ALL THAT APPLY)

    Please specify injury sites to be examined.
  • Specify right or left
  • Specify right or left
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  • SUMMARY OF CLAIM

  • This field is for validation purposes and should be left unchanged.
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