Massachusetts Medical Society: Medical Malpractice Tribunal Volunteer Sign Up Form

Medical Malpractice Tribunal Volunteer Sign Up Form

If you participate on a tribunal, you can receive a $50 stipend per case and AMA PRA Category 1 Credit™.


To volunteer you must:

  1. Have an active medical license in Massachusetts;
  2. Represent the field of medicine in which the alleged injury occurred;
  3. Practice medicine outside the county where the defendant physician practices or resides.

Contact Information Required:

To be included on the MMS tribunal list, complete the following form and hit the "Submit Form" button. 

All fields marked with * are required. 

First Name:*
Last Name:*
Your Specialty(ies):*  
County(ies) where you work/live:*

  (You can check multiple boxes)
Name of Your Practice:
Your Work/Practice address:
(Home address if retired)



Zip Code:* 
Phone Number:*
Are you an MMS Member?
(Not required to participate)
Videoconference Participation:
  If yes, what is your preferred location? 

Additional Comments:   

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