New Jersey Uniform Interrogatories - Form C(3)

Form C(3).

Uniform Interrogatories to be Answered by Defendant Physicians

in Medical Malpractice Cases Only

Superior Court, New Jersey

All questions must be answered unless the court otherwise orders or unless a claim of privilege or protective order is made in accordance with R. 4:17-1(b)(3).

1. Identify and describe the appearance of each and every person who was present in the vicinity of the alleged occurrence, giving the name, address and occupation of each such person and stating your relationship to each.

2. Describe in detail all aspects of your professional medical relationship with the plaintiff, indicating the date of commencement, the nature and extent of your medical relationship prior to the alleged occurrence, and the date and circumstances of the termination of your professional medical relationship.

3. In reference to the condition that forms the basis of the complaint, set forth: (a) the date(s) and circumstances under which you saw plaintiff; (b) any and all medical history given to you; (c) the examination(s) conducted of the plaintiff; (d) your findings on each examination; (e) your prognosis and diagnosis following each examination; and (f) any treatment or medication prescribed.

4. Attach your Curriculum Vitae or describe in detail your education, training, experience, published materials, service on boards and committees, continuing education and...