Request Info | Medifocus Legal

Submit a MedSearch Request

Submit a Research Request

Please use the form below to submit a research request for a particular case. After submitting your request, we will contact you in 24-hours or less to discuss your case in more detail and provide you with a guaranteed price quote.

If you prefer to discuss your case directly with our Director of Research, Dr. Elliot Jacob, you can call him at 301-649-9300 or send an Email to ej@ExpertMedicalResearch.com

Please complete all applicable fields:

Name:
Phone Number:
Email Address:
Law Firm:
Street Address:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Type of Case:	Medical Malpractice Personal Injury Other
Case Name: (e.g., Smith v. Jones)

Please tell us briefly about your case and your medical research needs. (view an example of a case summary)