General Referral Form > Join Our Roster of Expert Assessors

Dear Colleague:

For about the last 15 years, through Seiden Health Management Inc. We have provided various consulting services mainly in the Greater Toronto Area. We perform: occupational health services, impairment and disability management, pre-placement medicals, case management, medical/human resource mediation and other services. Clients include: insurance companies, law firms, governments, and corporations.

Many of our clients require non-insured services outside of the Toronto area. If you currently do this type of work or if you are interested in incorporating some non-medicare income in your practice, we would like to add you to our database.

We will not share any information you provide to us with any third party other than clients in need of professional services.

If you have any questions, please do not hesitate to contact Helen Nasho at 416-362-8611 (ex. 232) or 1-866-362-8611 (toll free).

Howard Seiden, M.D.

 

Use the Online Form below to submit your information instantly.

DATABASE INFORMATION

Name:
Address:
Phone #:
Ext. #:
Fax #:
E-mail Address:
Specialty:
Hourly Rate:
We have Internet access in the office:	Yes No

Types of third party assessments you perform or are interested in performing:

	Independent Examinations
	Occupational Health
	Pre-Placement/Return to Work
	Pilot, Marine, Trucker License
	Preventive Services (flu shots, immunization, travel medicine etc)

I agree to inclusion in the database with the understanding that my name and professional interests will be released to potential clients:

Yes No

Please cut and paste CV in text format within the field below:

Please cut and paste a Sample Report in text format within the field below:

All information submitted is private and confidential. Refer to our Privacy Policy for details.

Top