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Dubuque Office
700 Dubuque Building
Dubuque, IA 52001
Phone: (563) 584-2324
Fax: (563) 584-2321
Dixon Office
1700 S. Galena Ave
Dixon, IL 61021
Phone: (815) 288-2808
Chicago Office
53 W. Jackson, s/e 921
Chicago, IL 60604
Phone: (312) 427-7676
drthampy@thampy.com
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Sample Contract Letter
July 27, 2000
Attorney Will Sue
123 Hard Luck Street
Dubuque IA 52001
Re: BB V BB
Dear Mr. Sue:
Thank you for referring your questions regarding the above case to me for a forensic psychiatric evaluation. Before I reserve time for this case I request that you send payment for the time that is expected to be spent on this case. The amount is advance payment to be applied to my final billing. If the time actually devoted to the case exceeds this amount I will bill you for the additional time.
My fee is $250.00 per 60 minutes for reviewing records, performing examinations, preparing reports, conferring with attorneys, travel time, testifying time, waiting time, or time spent in any other way on this specific case. Depositions are scheduled for a minimum of 1 hour. Court appearances are scheduled for either 4 hours or 8 hours per day.
I recommend that you have me review all relevant medical reports, depositions, investigation reports, photographs, and other helpful information prior to my examination of the individual that you are referring. In order to make efficient use of time I suggest you send all such records at least two days before the scheduled examination.
Payment is expected one week before any appointment is scheduled. If not received the appointment will be canceled. Payment will be expected for appointments not kept without at least 72 hours notice. Cancellations of deposition time, court appearances or blocks of time greater than 2 hours may be subject to a charge.
Please confirm your acceptance of this agreement by signing the attached original agreement and return to me along with the required advance payment.
Sincerely,
Kishore J. Thampy, M.D.
Diplomate American Board of Psychiatry & Neurology with Added Qualifications in Forensic Psychiatry
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