This form is by the plaintiff's attorney to request from client's medical provider information regarding the client's injuries and treatment.
Tennessee Letter regarding Client's Injuries and Diagnosis
State:
Multi-State
Control #:
US-PI-0259
Format:
Word;
Rich Text
Instant download
Description
How to fill out Letter Regarding Client's Injuries And Diagnosis?
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FAQ
Make sure that it has a full and complete description of how the collision occurred, an overview of the injuries you sustained and the medical treatment you received, as well as the pain and suffering you experienced and how that affected your daily life.
Describe your injuries, including your pain and suffering, in as much detail as needed to give a full picture of what happened to you. And keep your demand reasonable. If you have medical bills of $2,800 and you demand $1 million to settle, you'll never regain your lost credibility.
Dear [Supervisor Name]: I am respectfully presenting this letter as written notice that I was involved in a work-related accident on [date of incident] at approximately [time of incident]. [I was injured / I became ill] when [give clear details involving the accident, including what led up to it].
In particular, it should provide the following information: Details about how the accident occurred. The date and time of the accident or incident. Where the accident occurred. ... Briefly, the reason why the Claimant alleges the accident was the Defendant's fault. Brief details of the Claimant's injuries.
I continue to suffer from residual pain and physical limitations. My losses total $_____________. After careful review of the issues involved in this claim, I believe this to be a fair and equitable settlement of this matter. I look forward to your prompt attention to this matter.
