Legal 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 worldwide.

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. 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 personal injury or medical malpractice law

I agree to the conditions of acceptance outlined above.

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

About You: ALL fields are essential - we can't process your application without the information below
Title  
First Name 
Surname  
Professional Job Description e.g. Solicitor, Barrister, Legal Executive
Main Qualifications  
Date of Qualification
Main Awarding Institution e.g. University of Cambridge
Country you practice in:
Name of Practice, Firm or Chambers
Phone Number
Fax Number (if available)
E-mail  
Password (for logging on to change details)  
Confirm password  
Web Page (if available)

Public Correspondence address

Please can you list the names, emails and addresses of two professional referees - lawyers or doctors who could vouch, when asked by us, for your skills as legal experts? We do not process applications without all these details.

Name One

Position of Referee

Form/Chamber of Referee

Address One

Email of Referee


Name One

Position of Referee

Form/Chamber of Referee

Address One

Email of Referee

 

 

This form is copyright Green MedicoLegal Ltd. 2003