Schedule an IME
Name of person scheduling appointment:
Company name:
Email address:
Phone number: (please include area code)
Company web address (optional):
Name of person to be scheduled:
Claim Number:
Location and Date of Requested Exam
Tomah on January 15, 2009. Eau Claire on January 15, 2009 Wausau on January 16, 2009 Green Bay on January 16, 2009 Milwaukee/Delafield on January 19, 2009 Madison on January 19, 2009. Tomah on February 12 Eau Claire on February 12 Wausau on February 13 Green Bay on February 13 Milwaukee/Delafield on February 16 Madison on February 16
Special scheduling instructions:
I would like to change or reschedule an appointment:
Other comments:
Thank you for submitting an online IME request. Your request for an appointment will be forwarded to Dr. Goodman. Please expect an email response confirming the date, time and location (with directions) of the IME. Instructions will also be given regarding medical records, x-rays, etc. You are responsible for informing the examinee regarding the exam. There will be no direct contact with the examinee by this office.
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[ Home ] [ FAQs ] [ Curriculum Vitae ] [ About the Doctor ] [ Fee Schedule ] [ Travel Schedule ] [ Order File Review ] [ Schedule an IME ] [ Testimonials ]
