Expert Application Form

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For a limited time expert medical witnesses can register for our searchable database available to solicitors and lawyers in the UK and US.

Just fill in the form below

Conditions of Acceptance: By entering details into this searchable database you hereby agree that Green MedicoLegal Ltd. can hold these details on file indefinitely. Your entry will appear on-line in due course and will appear free of charge in the 12 months between April 2001 and May 2002. Green MedicoLegal reserves the right to refuse or remove any application or details at any time. By applying here you guarantee that you are:

a the person named in the application
b currently fully qualified and allowed to practice in your own geographical region or state
c have experience in writing court reports and have previously acted as an expert medical or paramedical witness
d will respond helpfully and as positively as possible to local enquiries from solicitors, barristers or lawyers

I agree to the conditions of acceptance outlined above.

No application will be considered without this agreement box being checked.

About You: * unless stated otherwise ALL fields are essential
Title      (Dr, Assistant Professor, Prof)
First Name 
Surname  
Main Qualifications e.g. M.D. Date of Qualification
Main Awarding Insitution e.g. University of Cambridge
Other Qualifications e.g. ILTM, ChB
Country you practice in:
Medical Speciality or Profession e.g. Orthopaedics, Psychiatry, Nursing, Physiotherapy
Phone Number
Fax Number (if available)
E-mail  
Web Page (if available)

Correspondence address for contact?

What is your Chosen Field of Expertise?

Can you list the names and addresses of two professional referees - lawyers or doctors who could vouch - if asked by us - for your skills as an experts witness?

 

Name One

Email of Referee

Address One

Name Two

Email of Referee

Address Two

 

 

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