Requestor Information
First Name
*
Last name
*
Company Name
*
Phone Number
*
Fax Number
Email Address
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Claim Information
Claim Number
Type of Claim
*
Workers Compensation
Liability
Auto
Disability
Other
Insurer
Date Of Loss (MM/DD/YYYY)
*
Injury
Valid HIPAA-Compliant Release for this claimant?
(pdf or Word preferred)
*
No
Yes
HIPAA-Compliant Release Files (hold "ctrl" and select each file you want to upload)
asdf
X
Supporting Documentation?
X
Additional Documentation
Claimant Details
First Name
*
Middle Name
Last Name
*
Date of Birth (MM/DD/YYYY)
*
SSN
*
Gender
Male
Female
Phone #
Aliases
Names
(all aliases)
Add
Dates of Birth
(all aliases) - (MM/DD/YYYY)
Add
SSNs
(all aliases)
Add
Select which services you need
Medical Canvassing
and Social Media
Medical Canvassing
Social Media
Background Checks
Which options would you like?
Detailed/Full - **Our most requested search**
Note: Human element is key to conducting effective, results-driven investigations. Conversely, automated software is proven to be inefficient, unsuccessful and time consuming. This search is our most extensive, in-depth investigation across Social Media and non-Social Media websites to locate public activity and information pertaining to a subject or claim
Every investigation extends to possible relatives and/or associates, both previously known and those discovered during each investigation
A comprehensive and thorough analysis is made of all data found · Results are compiled into a clear and concise summary along with all pertinent evidence to support our findings
Copies of videos/media located are secured and a link provided in final report for viewing
Deluxe
In addition to our Detailed Analysis, our Deluxe will also include full data collection and capturing of the public information and content found within each SM profile located
Each Deluxe preserve corresponding metadata unique to social media, which his required for authentication and to establish chain of custody in court.
Basic
A soft search of Social Media websites to determine whether a subject has any public presence within Social Media websites and, if so, where
If presence is found, a report is generated with links to each/any profile located
Each Basic search will include a minimum of Facebook, Twitter, Instagram, LinkedIn, Pinterest, YouTube and Tumblr
Basic Plus
In addition to our Basic search, the Basic Plus includes full data collection and capturing of the public information and content available within each SM profile located
Please note that the Basic Plus does not include obtaining and securing copies of videos/media that is found
Social Media Monitoring
A powerful took used after performing an Internet Mining and Social Media search that involved monitoring social media profiles for changes pertaining to a claimant or individual(s) related to a claim.
Helpful when a one-time search is not enough
Standard monitoring period is 30 days and includes updates that are customized to fit the needs of each client and claim
This service also extracts key metadata unique to social media, which his required to authenticate data, preserve evidence and establish chain of custody in court.
SSN/DOB Search
A verification/search of an individual’s SSN/DOB
Details
Email Address
*
Race
*
Marital Status
*
Names of Dependents
*
Claim Details/Restrictions
Possible Addresses
*
Telephone Numbers
*
Hobbies & Interests
*
Additional Notes
*
Soft Search Results?
If you already have soft search results please upload them here.
Case Photos?
If you have any photos pertaining to this case please upload them here
Additional Photos
Social Media
Which options would you like?
Social Media Analysis
Detailed Social Media Search
Basic Social Media Search
Detailed/Full - **Our most requested search**
Note: Human element is key to conducting effective, results-driven investigations. Conversely, automated software is proven to be inefficient, unsuccessful and time consuming. This search is our most extensive, in-depth investigation across Social Media and non-Social Media websites to locate public activity and information pertaining to a subject or claim
Every investigation extends to possible relatives and/or associates, both previously known and those discovered during each investigation
A comprehensive and thorough analysis is made of all data found · Results are compiled into a clear and concise summary along with all pertinent evidence to support our findings
Copies of videos/media located are secured and a link provided in final report for viewing
Deluxe
In addition to our Detailed Analysis, our Deluxe will also include full data collection and capturing of the public information and content found within each SM profile located
Each Deluxe preserve corresponding metadata unique to social media, which his required for authentication and to establish chain of custody in court.
Basic
A soft search of Social Media websites to determine whether a subject has any public presence within Social Media websites and, if so, where
If presence is found, a report is generated with links to each/any profile located
Each Basic search will include a minimum of Facebook, Twitter, Instagram, LinkedIn, Pinterest, YouTube and Tumblr
Basic Plus
In addition to our Basic search, the Basic Plus includes full data collection and capturing of the public information and content available within each SM profile located
Please note that the Basic Plus does not include obtaining and securing copies of videos/media that is found
Social Media Monitoring
A powerful took used after performing an Internet Mining and Social Media search that involved monitoring social media profiles for changes pertaining to a claimant or individual(s) related to a claim.
Helpful when a one-time search is not enough
Standard monitoring period is 30 days and includes updates that are customized to fit the needs of each client and claim
This service also extracts key metadata unique to social media, which his required to authenticate data, preserve evidence and establish chain of custody in court.
Details
Claimant Address
Additional Addresses
Claim Details/Restrictions
*
Email Address
Race
Marital Status
Dependents
Telephone Numbers
Hobbies & Interests
Additional Notes
Supporting Documentation?
X
Additional Documentation
Case Photos?
If you have any photos pertaining to this case please upload them here
X
Additional Photos
Medical Canvassing
P.O. Boxes are NOT valid addresses. Physical addresses are required
Every type of search selected below will be for 11 facilities
Search Address/Claimant's Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Hospital
Pharmacy - Basic
Pharmacy - Deluxe
Pharmacy - Super Deluxe
Pharmacy - Ultimate
Urgent Care Clinic and Occupational Medicine
Imaging Center
Physical and Occupational Therapy
Chiropractor
Orthopedic, Orthopedic Surgeon and Sports Medicine
Neurologist and Neurosurgeon
Primary Care Physician
Dental
Cardiology
ENT (Otolaryngologist)
Psychiatric
Pain Management
Specialty
Type of Specialty
Add Another Specialty
Click here to search another address
Search Enhancements
Rush Medical Search Results?
We can expedite the medical search results for an additional fee of $50.00 per search.
No
Yes
Claimant Information Search?
Would you like to run a claimant information search for an additional $20 per search? This search can provide alternate names, addresses, SSNs and/or DOBs. (This is automatically included with a social media search.)
No
Yes
Would you like anyone else to receive a copy of the invoice?
Add
Click "Add" above and then the enter email addresses
Would you like anyone else to receive a copy of the report?
Add
Click "Add" above and then the enter email addresses
Comments
Making sure you are a human.
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