Requests for an evaluation must be received via our partner organization, Physicians for Human Rights.
Please fill out the form below and e-mail it to firstname.lastname@example.org or fax it to 617-301-4250. In the "Details of the Case" box indicate that you would like your client to be seen by the Columbia Human Rights Initiative Asylum Clinic. If we cannot accommodate your request, PHR will pair you with another physician in their network.
For more information, see Physicians for Human Rights - Information for Attorneys (http://physiciansforhumanrights.org/asylum/for-attorneys.html).