You represent a third party claimant who sustained long - term, serious injuries in a motor vehicle collision. Draft a letter to a medical specialist in which you request him/her to compile a medico - legal report that reflects the impact of the collision on your client's medical condition. To ensure that the important issues relating to your client's third party claim are properly addressed in the medico - legal report by the medical specialist, he should be asked for and given certain information in the letter that you send to him her.
101
Question
[Your Name]
[Your Law Firm]
[Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Medical Specialist's Name]
[Specialty]
[Medical Facility]
[Address]
[City, State, ZIP Code]
Dear Dr. [Medical Specialist's Name],
RE: REQUEST FOR MEDICO-LEGAL REPORT ON BEHALF OF [CLIENT'S FULL NAME], THIRD PARTY CLAIMANT
I hope this letter finds you well. I am writing to request your expert assistance in compiling a medico-legal report for my client, [Client's Full Name], who sustained long-term, serious injuries as a result of a motor vehicle collision. As a third-party claimant, [Client's Full Name] is seeking a comprehensive report that accurately reflects the impact of the collision on their medical condition.
In order to ensure that the important issues relating to [Client's Full Name]'s third-party claim are adequately addressed in the medico-legal report, I kindly request that you consider the following information:
1. Personal Details:
- Full name
- Date of birth
- Gender
- Contact information (address, telephone number, email address)
2. Collision Details:
- Date and time of the motor vehicle collision
- Location of the collision
- Description of the collision circumstances
3. Injuries and Medical Treatment:
- Comprehensive list of injuries sustained by [Client's Full Name] as a result of the collision
- Dates and details of all medical treatments received by [Client's Full Name] since the collision
- Copies of medical records, diagnostic tests, and imaging studies related to these injuries and treatments
4. Pre-existing Conditions:
- Any pre-existing medical conditions or injuries that might affect the interpretation of [Client's Full Name]'s current medical condition
5. Current Symptoms and Limitations:
- Detailed description of [Client's Full Name]'s current symptoms, disabilities, and limitations resulting from the collision
- Analysis of how these symptoms and limitations impact their daily activities, employment, and quality of life
6. Future Prognosis and Treatment:
- Expert opinion on [Client's Full Name]'s future prognosis, including the anticipated duration and progression of their condition
- Recommendations for ongoing medical treatment, rehabilitation, and any potential need for medical aids or devices
7. Causation and Impact:
- Evaluate and provide an expert opinion regarding the causation of [Client's Full Name]'s injuries, specifically attributing them to the motor vehicle collision
- Assess the impact of the collision on [Client's Full Name]'s pre-existing medical condition, if applicable
I kindly request that the medico-legal report be prepared in a timely manner, considering the urgency of our client's legal proceedings. Furthermore, I will be responsible for ensuring that all necessary consent forms and authorizations are obtained promptly to facilitate the compilation and exchange of medical information.
I am confident that your expertise and knowledge in the field will greatly contribute to the fair evaluation of our client's third-party claim. Your impartial and comprehensive assessment will provide essential support to our legal team in seeking a fair resolution and adequate compensation for [Client's Full Name].
Thank you for your attention to this matter. Please do not hesitate to contact me should you require any further information or clarification. I look forward to your positive response and the subsequent collaboration in preparing the medico-legal report.
Yours sincerely,
[Your Name]
[Your Law Firm]