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Physician Inquiry

 

Royal Medical Consultants, Inc. welcomes inquiries from Physicians and Chiropractors interested in performing all types of medical evaluations and reviews. We welcome your inquiry as part of our Nationwide network of Examiners and Reviewers. 

If you would like more information, please complete the form below. One of our associates will provide you with more details on our company and services


I am interested in more information about joining Royal Medical Consultants' network of specialists as a participating physician. 
 PHYSICIAN INFORMATION

Required Fields *

Applicant Name:*
Practice Name:*
Mailing Address:*
City:*   State:*   Zip:*
Phone:*
Fax:
Email Address:*
 DEGREES - (check all that apply)
MD
DO
PHD
DC
DDS
DMD
POD
Other  (Please Specify)
 MY SPECIALTY IS - (check all that apply)
Cardiology
Chiropractics
Dental
Dermatology
Endocrinology
File/Peer Reviews
Film Reviews
Functional Exams
Gastroenterology
General Surgery
Infectious Diseases
Internal Medicine
Neurology
Neuropsychology
Neurosurgery
Obstetrics and Gynecology
Ophthalmology
Oral Surgery
Orthopedic Spine
Orthopaedics
Otolaryngology
Pharmaceutical Reviews
Physical Rehabilitative Medicine
Plastic Surgery
Psychiatric/Stress
Pulmonology
Radiology
Urology
Vascular Surgery
Other (Please Specify)
 BOARD CERTIFICATION
Are you a Board Certified physician? Yes No
 MEDICAL EVALUATIONS
Have you performed independent medical evaluations before? Yes    No
If yes, for what company or companies?
 LOCATION
In what cities or regional areas would you like to perform exams? 
Please be specific:

Thank you for your interest in Royal Medical Consultants' physician network.

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