Member Contact

NOTE: If you need assistance beyond what’s listed in the “Reason for Inquiry” dropdown on the form below, please click here to schedule a consultation.

Name(Required)

First Last

Email(Required)

Phone Number(Required)

Where are you located?(Required)

Reason for Inquiry(Required)

Specialty(Required)

Are you the doctor?(Required)

Yes

Tell Us More(Required)

Newsletter

Subscribe to our weekly newsletter?

Name

This field is for validation purposes and should be left unchanged.

By submitting this form you are consenting to receive emails from Medical Justice. You can opt-out of these emails at any time.

Medical Justice/eMerit members: Please let us know how we can help! The following are more options to connect with our team for assistance:

Schedule a FREE consultation with our experts, including Dr. Segal: Use this calendar link.
Call the members-only hotline: 336-691-1286

We’re here to provide assistance to doctors in need of guidance. Fill out this online form to start the conversation, or schedule a 15-minute consultation using our online appointment manager.