Remove item Thumbnail image Product Price Quantity Subtotal
× Multidimensional Healing Textbook Multidimensional Healing Textbook
Details Information:
$35.00
$35.00
× Brain over Pain- The New Mind over Matter Brain over Pain
Details Information:
$25.00
$25.00

Cart totals

Subtotal $60.00
Total $60.00

Expert Consultation Intake Form

Attorney and Firm

Matter and Identification

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Conflict Check

List every party, provider, facility, insurer, and attorney you know to be involved. Include names and locations. *

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  • Opposing counsel and firm
  • Any other person or entity Dr. Schmidt should screen

Have you, your firm, or any party in this matter had a prior professional relationship with Dr. Schmidt or Educise PC? (yes / no / unsure). If yes, describe.

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