Vocational Consulting Group, Inc.

Referrals

To make an inquiry or case referral, please describe below the type of case which you’re seeking the services of a Rehabilitation expert. Please do not provide confidential information until such time as formal case referral is made:

Type of Case:   Case Status:
Personal Injury Worker's Compensation In Litigation
Matrimonial Long Term Disability Litigation Pending/Near Trial
Wrongful Termination Medical Malpractice Pre-Litigation
FELA, Jones Act or L & H Act Employment Discrimination Other
Americans with Disabilities Act  
Contact Information    
Your Name (required): Firm Name:
Address:  
City / State / Zip:  
Telephone (required): Fax: Email (required)

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