Create a New Account

Use the form below to create a new account.

Company Information

Company Name  

Address  

City  

State / Province  

- Select -

Zip / Postal Code  

Country  

- Select -

Phone  

User Information

Name  

Phone

 

 


  You agree that Predictive Resources may elect to perform a clinical review, at additional cost, on any case that Predictive Resources deems as necessary to produce the most accurate LE possible.

Additional Charges
Page Count
Orders with over 550 pages of Medical Records will be charged $0.25 per additional page. Max page fee of $675.

Clinical Reviews
Secondary Life Expectancy +$350 Tertiary Life Expectancy +$350 Accelerated Longevity Estimate +$180 Accelerated Longevity Est. MR +$350 Longevity Update Prior LE +$180