Evidence-Based Medical Evaluations Tailored to Your Needs
Services & Fees
Physician-Authored Medical Evaluations and Transparent Pricing
David Medical Services provides independent, physician-authored medical opinions for workplace accommodations, disability benefits, and military matters. Each service addresses a specific medical question, with fees reflecting the complexity of the evaluation, records reviewed, and level of analysis required.
Workplace Accommodations
Workplace Accommodation Independent Medical Opinions (IMOs)
Independent physician opinions for federal and private-sector employees who need physician documentation explaining how a medical condition affects work-related function and supports a requested accommodation.
Standard Accommodation IMO
Best for relatively straightforward cases involving an established medical condition, defined functional limitations, and a specific accommodation request.
Comprehensive Accommodation IMO
Best for more complex cases involving multiple conditions, several job functions, telework, travel or fieldwork restrictions, attendance issues, or prior insufficient documentation.
Federal Disability Retirement (FERS/CSRS)
Federal Disability Retirement Independent Medical Opinions (IMOs)
For federal employees whose medical conditions may prevent continued useful and efficient service despite treatment and appropriate accommodation efforts.
Level 0 Preliminary Medical Assessment
A focused physician assessment of whether the available evidence appears capable of supporting a Federal Disability Retirement medical opinion. If the assessment determines the evidence supports a Federal Disability Retirement medical opinion, the fee for this Level 0 review is applied toward a Level 2 or Level 3 Federal Disability Retirement Independent Medical Opinion service (see below for details).
Level 1 Focused Medical Narrative
A physician-authored summary of the relevant medical history, functional limitations, and work-capacity issues.
Level 2 Comprehensive IMO
A detailed medical and occupational analysis addressing the relationship between the employee's condition and continued ability to perform the position.
Learn more about Federal Disability Retirement Medical Opinions
Federal Workers' Compensation (OWCP)
Federal Workers' Compensation (OWCP) Medical Opinions
Independent, physician-authored medical opinions addressing occupational causation, aggravation, continuing disability, and disputed medical determinations under the Federal Employees' Compensation Act (FECA).
Level 0 Medical Feasibility Review
A preliminary physician review to assess whether the available medical evidence may support the requested OWCP medical opinion. Includes review of up to 25 pages of evidentiary documents, identification of key medical issues, evidence gaps, and recommended next steps. The $500 Level 0 fee may be credited toward a subsequent Level 1 or Level 2 opinion addressing the same medical issue.
Level 1 Focused Medical Opinion
A focused, physician-authored medical opinion addressing a specific question involving occupational causation, aggravation, or continuing disability. Includes review of up to 75 pages of relevant medical and occupational records, clinical analysis, and a reasoned medical conclusion.
Level 2 Comprehensive Medical Opinion
An expanded evaluation of complex or disputed claims involving extensive medical histories, multiple contributing factors, or conflicting medical opinions. Includes review of up to 125 pages of evidentiary documents, a medical & occupational timeline when appropriate, relevant medical literature, & detailed clinical reasoning. Best suited for complex causation, disputed disability, or cases requiring analysis of adverse OWCP medical determinations.
Additional Information
Evaluations are based on the available medical evidence and independent physician judgment. A favorable conclusion or specific OWCP determination cannot be guaranteed. Additional records review, supplemental opinions, and unusually complex cases may require additional fees.
Schedule A
Schedule A Medical Documentation
For qualified individuals who need physician proof-of-disability documentation for federal hiring under Schedule A.
Schedule A Medical Documentation
Includes physician review of relevant medical documentation and, when medically supported, preparation of a Schedule A disability certification letter.
SSD Medical Opinions
Social Security Disability (SSDI / SSI) Medical Opinions
For individuals whose Social Security disability claims require clearer medical analysis of work-related functional limitations.
SSDI/SSI Medical Feasibility Review
A focused physician review to determine whether the available evidence supports a meaningful functional medical opinion and whether additional documentation is needed.
Level 1 Focused Disability Medical Opinion
An independent physician opinion addressing specific medical conditions and their documented functional limitations. Includes a focused review of evidentiary documents (up to 50 pages) supporting work-related restrictions.
Level 2 Comprehensive Disability Medical Opinion
A comprehensive independent medical opinion incorporating a detailed review of up to 75 pages of evidentiary documents, longitudinal medical history, and the combined functional effects of relevant medical conditions.
Military Records Correction
Military Records Correction Medical Opinions
For former service members seeking retrospective physician analysis of fitness for duty, missed disability evaluation, MEB/PEB issues, or other medically-related records correction questions.
IMO-1: Records Review + Fitness Opinion
Includes review of up to 150 pages and a formal independent medical fitness-for-duty opinion.
IMO-2: Comprehensive Fitness Opinion + Medical Timeline
Includes review of up to 200 pages, a structured medical and service timeline, and expanded functional analysis.
Military Award IMOs
Military Award Independent Medical Opinions
Independent physician review of the medical evidence supporting military decorations.
Level 0: Initial Case Assessment
Before preparing a formal independent medical opinion, our physician must first determine whether the available evidence provides a reasonable medical foundation for the requested conclusions. This Level 0 review includes physician review of up to 25 pages of relevant evidentiary records, e.g. military, medical, and supporting documentation.
Military Award Independent Medical Opinion (IMO)
If the Level 0 assessment finds a formal medical opinion supportable, we will provide a scope of work and fee based on the medical questions involved, complexity of the case, and volume of records requiring review. The $500 Level 0 fee is credited toward a subsequent Military Award IMO addressing the same injury and award request.
Learn more about Military Award IMOs
VA Individual Unemployability (TDIU) Medical Opinions
TDIU Independent Medical Opinions
Independent physician review of how a Veteran's service-connected medical conditions affect their ability to work.
Level 0 TDIU Medical Feasibility Review
An initial physician review to determine whether the available medical evidence appears sufficient to support a formal occupational functional opinion. Includes review of up to 25 pages of evidentiary records.
Level 1 TDIU Medical Functional Opinion
A formal, physician-authored medical opinion evaluating the occupational effects of the veteran's service-connected disabilities. Includes review of up to 100 pages of relevant medical records and supporting documentation.
Level 2 Comprehensive TDIU Medical Opinion
An expanded medical assessment for complex cases requiring additional clarification of functional limitations, symptom patterns, or occupational history. Includes up to 150 pages of medical records and supporting documentation and provides an expanded analysis of occupational functioning.
Fees cover assessment of the service-connected conditions relevant to one TDIU claim. Particularly complex cases may require an individualized fee estimate, which will be provided before work begins.
Record Limits & Additional Review
Focused Records Help Keep the Evaluation Efficient
Each service includes the record volume specified for that evaluation. Because physician review time increases significantly with larger record sets, additional records are billed at
$250 (for additional physician review time) per additional 25-page increment.
Cases that involve substantially larger record sets, unusually complex medical questions, multiple conditions, reconsideration or appeal, prior adverse decisions, or attorney-directed analysis may require additional review fees or individualized pricing. If additional review is needed beyond the agreed scope, we will identify the anticipated fee before proceeding.
Important Information about Our Fees
Payment Covers Physician Review, Not a Predetermined Conclusion
Our fees cover independent physician review, medical analysis, and preparation of the agreed service when medically supportable. Payment does not guarantee:
- A favorable physician opinion;
- Approval of a workplace accommodation;
- OPM Disability Retirement;
- Social Security disability benefits;
- Schedule A hiring;
- Military records correction; or
- Any other administrative or legal outcome.
Our ethical responsibility is to provide an objective medical opinion, based on the evidence available.
Not Sure Which Service You Need?
Choose the Statement That Best Matches Your Situation
Workplace Accommodation
I have a medical condition that affects my ability to perform certain job duties, and I need medical documentation to support a workplace accommodation.
Federal Disability Retirement
I am a federal employee whose medical condition prevents me from adequately performing my job, and I need medical evidence to support an OPM disability retirement application.
Federal Workers' Compensation (OWCP)
I have a federal workers' compensation claim and need a medical opinion addressing whether my condition is work-related, whether I remain disabled, or a disputed OWCP medical determination.
Schedule A Medical Documentation
I have a qualifying disability and need medical certification to apply for federal employment through Schedule A hiring.
Social Security Disability (SSDI/SSI)
I am applying for Social Security disability benefits and need a medical opinion explaining how my health conditions limit my ability to work.
Military Records Correction
I believe my military medical records, fitness determination, or separation decision did not adequately reflect my medical condition, and I need an independent medical opinion.
Military Award Medical Opinions
I am seeking a military award or correction of an award decision and need a medical opinion addressing the nature, documentation, or circumstances of an injury.
VA Individual Unemployability (TDIU) Medical Opinions
I have service-connected disabilities that interfere with my ability to maintain employment.
Not Sure Where to Start?
If you are uncertain which type of service you need or which level is best for your situation, contact us and we can determine which evaluation best fits the medical question that needs to be addressed.
Medical opinions prepared by physicians experienced in Internal Medicine, Occupational Medicine, and independent medical evidence evaluation.
Independent physician medical opinions for workplace accommodations, federal disability retirement, Social Security disability, and selected military matters.
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Important Notice Regarding Recent Submissions
We recently identified and corrected a technical issue affecting contact information on our Military Records Correction intake form.
If you submitted an inquiry on November 1–2, 2026 and have not received a response, please contact our office or resubmit your inquiry. Your original submission may have been received without your contact information.
We apologize for the inconvenience.