IME Contract Request Form

Please fill out the request form below for information on our IME contract.

Please allow up to 24 hours to process the IME Contract Request.  An OrthoCentrix Solutions representative will be in touch with you soon.

 

Tel. 312-906-9900

Toll free. 877-889-0111

Fax. 312-348-8317

© 2016 by OrthoCentrix Solutions