Physician-signed causation & merit reviews Conflict-cleared intake · Nationwide
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Request a Medical Review — Stage One Is Metadata Only

Intake is deliberately two-stage. Tell us about the matter — no protected health information, no records. We run a conflict check, then issue a secure, HIPAA-aware upload link for the records.

Conflict checkBefore any records
CoverageNationwide
1
Submit metadataMatter type, side, jurisdiction & the medical question. No PHI
2
Conflict checkWe screen the opposing party before anything else. PHI gate
3
Scope & priceDefined scope and a fixed price, agreed in writing.
4
Secure upload linkA HIPAA-aware link + BAA — records move here, not by email. Secure · BAA
5
Physician reviewA specialty-matched physician reviews the records.
6
Signed opinionA deposition-safe, physician-signed deliverable.

No protected health information is collected on the public form. Records are shared only after the conflict check clears, through a secure, HIPAA-aware channel.

Do not submit medical records, protected health information, confidential case materials, or court-protected information through this form. CauseMD will confirm the appropriate engagement and secure upload process before records are received.

Do not include patient names, dates of birth, Social Security numbers, or other direct patient identifiers in this field.

Provide party names only; avoid patient-specific medical information in this field.

No records yet. After conflicts clear, we'll issue a secure, HIPAA-aware upload link and a Business Associate Agreement where appropriate.

Thank you. CauseMD has received your review request.
A CauseMD representative will review the information, confirm whether the matter appears appropriate for review, and follow up regarding scope, conflict check, engagement, and secure record transfer. Submitting this form does not create an engagement, attorney-client relationship, physician-patient relationship, or expert retention.