Refer a case

Refer a case to WMC

Tell us the administrative facts of the matter. We will review scope, conflicts and availability and respond within one business day.

Please do not include medical records, diagnoses or other medical details. Describe the legal question only. Records are exchanged after WMC confirms the matter.

Referring attorney

Attorney first name

Attorney last name

Firm

Phone

Paralegal or other contact (optional)

Contact email (optional)

The matter

Retaining side

Jurisdiction (state)

Service requested

Independent medical examinations are available for New York and New Jersey matters only.

Case type

Venue or court (optional)

Claimant first name

Claimant last name

Date of loss (optional)

Report needed by (optional)

Approximate records volume (optional)

Opposing counsel and firm (optional)

Used for the conflict check.

How did you hear about us? (optional)

The legal question (optional)

Describe the legal question, not medical details. Up to 1000 characters.

I understand that submitting this form does not create an engagement, and that WMC will confirm scope, conflicts and availability before accepting any matter.