Work with Affirm Medical Legal Consultants

Join Our Team

Name(Required)
Do You Have University Teaching Experience?
Are you Board Certified?(Required)
MM slash DD slash YYYY
Are you currently practicing in the field specified above?(Required)
Have you ever reviewed a legal case as an expert for the defense or plaintiff?(Required)
Has any professional or occupational licensing authority in any jurisdiction or country ever taken any action against your professional license, registration, certification or multi-state privilege held by you now or previously?(Required)
Have you been the subject of any pending disciplinary action before any professional or occupational licensing authority?(Required)
Have you ever been charged, convicted of a felony or misdemeanor, or have any charges pending?(Required)
Accepted file types: doc, docx, pdf, Max. file size: 128 MB.
Accepted file types: doc, docx, pdf, Max. file size: 128 MB.