All requests for med-legals must be submitted in writing. Requests should include a copy of the panel list, if applicable, and an intake sheet which can be any sheet containing the patient’s demographic and claim information.
You can also click the link below to fill out our request form and submit it to our office electronically. In order for information to be transmitted in an encrypted and secure manner, the link below will redirect you to a secure server.

Secure Request Form for AME/QME/Re-Evaluation


Physician Availability:

Dr. William Campbell: San Francisco, Daly City, Oakland, Sacramento, Santa Rosa, Fairfield, Vallejo, Brentwood, Walnut Creek
Dr. Richard Fernandez: San Francisco
Dr. Douglas Grant: Walnut Creek
Dr. Matthew Johnson: Walnut Creek
Dr. Barry Meskin: Walnut Creek
Dr. Paul Nottingham: Walnut Creek, Oakland, Brentwood
Dr. Howard Rome: Brentwood, Fremont, Alameda and Oakland
Dr. Jacob Rosenberg: Walnut Creek
Dr. Lawrence Weil: Walnut Creek

Scheduling Coordinator Contact Information:
For Dr. William Campbell
Kerry Esquivel
(510)-451-4142 x 275
(415)294-3528 Fax

For all other doctors:
Audrey Barnes
(925)691-9806 ext 8105
(925)691-9807 Fax

  • Please send all records and correspondence to our main office in Walnut Creek and San Francisco (only for Dr. William Campbell).
    Walnut Creek Office: 450 North Wiget Lane, Walnut Creek, CA 94598.
    San Francisco Office: 1 Daniel Burnham Ct. Ste 365C, San Francisco, CA 94109
  • Records and cover letters should be sent at least four weeks prior to the appointment. Records on CD are preferred. Records on CD should be readily accessible and not require software downloads to enable access.
  • Please provide return shipping label for records needing to be returned.
  • Cancellation policy: We require six business days notice. The no-show/late cancellation fee is $250.