Request for Chiropractor's Report and Bill

Dr. Carl Chiropractor

123 Main Street

Anytown, USA 00000

Re: Client: Peter Plaintiff

D.O.B.: November 17, 1953

S.S.N.: 000 00 0000

Dear Dr. Chiropractor:

Please be advised that we represent Mr. Plaintiff regarding injuries he sustained in an accident on January 1, 1992. I understand you have treated Mr. Plaintiff for these injuries.

I would appreciate it if you would please send me the following three items:

  1. A report of your diagnosis, treatment and prognosis for Mr. Plaintiff.

  2. An...

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