ELLIS CLINIC · PERSONAL INJURY APPOINTMENT PROCESS
ELLIS CLINIC · PERSONAL INJURY

Prepare for Your Personal Injury Appointment

Before completing the Personal Injury Appointment Protocol, review how Ellis Clinic wants the legal and medical records organized and what information should accompany the request for an appointment.

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BEFORE YOU BEGIN

Organize the Records Ellis Clinic Needs

The protocol asks that the records be organized so the important legal and medical evidence can be reviewed efficiently. It specifically calls for pertinent records rather than every page of a chart.

1. Legal Records

Include the claim form, attorney correspondence, and prior adjudications.

2. Summary List

Prepare a Summary List of Records. The protocol says it may be attached to the expert medical opinion report.

3. Pertinent Medical Records

Include useful operative reports, hospitalization discharge summaries, MRI/EMG/X-ray testing, physician records, and other pertinent records.

For each claim: the protocol instructs the patient to submit an Ellis Clinic Injury Information form. The builder below fills that injury-information page along with the appointment protocol.
WHAT THE INJURY PAGE COLLECTS

Tell Ellis Clinic What Happened

The guided form collects the date of injury, patient information, referring attorney, how the injury happened, treatment, current problems, missed work, significant prior injuries, pertinent medical and family history, medication allergies, work status, and education.

Injury
Date and a brief description of what caused it.
Treatment
Doctors, hospitals, testing, medications, surgery, and therapy.
Current Problems
Where you still have symptoms or problems.
Work & History
Missed work, current work status, prior injuries, medical history, and education.
Fee and payment: the supplied protocol states a $500 fee and says payment is deposited only if the records are acceptable, after which Ellis Clinic calls the client for an appointment. This website does not collect credit-card numbers, expiration dates, or security codes. Those fields remain blank on the generated PDF.

Ready to Build the Protocol?

Complete the guided form, review your answers, and create a filled copy of the original Ellis Clinic protocol.

BEGIN THE PERSONAL INJURY BUILDER →