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Fill and Sign the Sample Complaint Letter to Management Office Form

Fill and Sign the Sample Complaint Letter to Management Office Form

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Select the complaint letter to management office and open it.
Fill out the form and add an eSignature.
Save the letter of complaint to management, print, or email it.

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Instruction: This is a model letter. Adapt to fit your facts and circumstances. RE:Patient/Client:Date of Accident:Our File No:Dear : This firm has the pleasure of representing regarding injuries he sustained in accident on the above referenced date. I understand that you have treated him for those injuries, and I am in need of the following information and opinions:1)What is the date of MMI for ?2) What is your final diagnosis of the injuries sustained? 3)Do you feel any further treatment or any surgeries are necessitated for the injuries, and if so, please detail same and the cost, if possible.4)Please provide me with any permanent impairment ratings or percentages you have assigned to him for the injuries.5) Please delineate any permanent restrictions/limitations will have as a result of his injuries.I appreciate your help in this matter and I look forward to hearing from you.Yours very truly,

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