For attorneys

Refer a client for care.

Tell us about your client. We help coordinate care with participating providers, along with scheduling, records and billing details. Care is arranged once your client authorizes it.

We’re in preview. Please don’t enter real patient or client details yet.

Your firm

Firm name

Your name

Your email

Your phone

Your client

Share only what we need to arrange care. You can give us the clinical detail directly once we have confirmed the client’s authorization.

Client first name

Client last name

Client phone

Client email

Client ZIP code

So we can find the nearest clinic.

Preferred language

Date of incident

Type of incident

Care requested

Optional — we can recommend based on need.

Client was the

At-fault insurance

If known.

Client’s own insurance

If known.

Anything we should know

Accessibility needs, scheduling constraints, or the area of injury.

Ponga MD coordinates care. Treatment decisions stay with the treating provider.