Joseph I. Cohen, M.D., Forensic Pathologist
Private Forensic Consultation Form

NO FEE FOR INITIAL INQUIRY
ALL CORRESPONDENCE IS PERSONAL AND CONFIDENTIAL

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Contact Information (one or more fields required for correspondence):

Name

Company

Address

Telephone

FAX

Email

Affiliation (check all that apply):

Individual Insurance Company
Physician/Pathologist Hospital/Risk Management
District Attorney/Prosecutor Funeral Home
Defense Attorney Media
Judge/Other Judicial Other (specify below)
Law Enforcement

Type of Inquiry (check all that apply):

First Contact Follow Up
Questions, Concerns, Comments
Forensic Expert Opinion
Death Investigation
Injury Investigation
Medical Record/Autopsy Report Review
Autopsy Examination Consideration
Second Autopsy/Exhumation
Scene Investigation/Photographs
Possible Litigation
Expert Witness/Courtroom Testimony
Issues of Death Certification/Cause and Manner of Death
Other (specify below)


Questions, Concerns, Comments and Considerations:




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