Use the form below to submit an online case review. The case review process entails submitting your information in the form below and sending/uploading pertinent images.
The fee for the case review, regardless of how you submit images, is ($50.00).
After you enter all the information in the form below and pay the $50.00 fee, you have 2 options to submit relevant imaging (X-rays, CT scans, MRI, etc):
1) After payment, you will be offered a hyperlink to upload your images files online. If you would like to upload your images via the hyperlink, you will need to have the Java Runtime Environment installed BEFORE you fill out this form and click submit.
If you do not have Java Runtime Environment, click here. After complete installation of Java Runtime Environment, you should close and re-start your browser. If you do not install JRE before you submit images, you risk paying twice.
Again, BEFORE you fill out this form and upload images, install Java Runtime Environment, close your browser, and re-open it.
2) If you do not submit your images online, you can send the CD with images to:
Hip & Pelvis Institute at St. John's
Attn: Dr. Matta / Tanya C.
2001 Santa Monica Blvd., Suite 760
Santa Monica, CA 90404
Please allow for 7-10 business days after your images are received for a response.
(Please allow for 7-10 business days after your images are received for a response.)
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