IN THE CIRCUIT COURT
OF ____________ COUNTY
NAME OF PLAINTIFF )
)
)
V. ) NO.
)
)
NAME OF DEFENDANT )
)
)
JURY TRIAL DEMANDED
SECOND AMENDED COMPLAINT
This is an action to recover actual and punitive damages for gross negligence,
alternatively, for assault. The Plaintiff shows the Court the following:
I.
Plaintiff, ________________, is an adult resident citizen of ______________,
__________, __________ __________.
Defendant, _____________, is a corporation, which may be served with process by
service upon its registered agent, ____________ at ___________, __________, __________
__________.
Defendant, ________________, at all relevant times was an employee of Defendant as a
physical therapist acting in the course and scope of his employment. ________________ may be
served with process by service upon him at his place of employment at ________________,
__________, __________ __________.
Defendant, _______________, is a corporation, which may be served with process by
service upon its registered agent, ________________, at _____________, __________,
__________ __________ and by service upon _________________________.
II.
As of __________ __________, Defendant ________________ acting in the course and
scope of his employment for Defendant _______________, was in the process of rendering
physical therapy services to Plaintiff. Acting either through gross negligence, or deliberately,
Defendant ______________, in a rough and hazardous fashion raised Plaintiff's left leg above
his shoulder. The raising of the leg was not done as part of any necessary physical therapy
treatment, but was done to harass Plaintiff, and there was no need for the leg to be raised in such
a fashion in order to afford treatment.
Ill.
Plaintiff immediately felt excruciating pain. He was required to have a total hip
replacement as a direct and proximate result of the grossly negligent or intentional acts of
Defendant ______________, acting in the course and scope of his employment by Defendant
________________.
IV.
As a result of the injury inflicted by Defendants, Plaintiff has developed a permanent
limp.
V.
Plaintiff has suffered extreme mental anxiety and stress, as well as physical pain, as a
result of the assault done upon him by Defendants.
VI.
Plaintiff is entitled to damages for his physical pain and suffering, as well as punitive
damages because of the gross negligence and willful indifference of Defendants toward his
rights.
VII.
Defendant ________________ is an insurance carrier, which has paid certain medical
bills in this case and should be made a party to this litigation. Should ________________ assert
a claim, it should be realigned as a party plaintiff. On the other hand, should ________________
not assert a claim, all claims it has should be dismissed and quieted forever.
VIII.
Copies of medical records documenting the injury inflicted by Defendant are attached
hereto as Exhibit.
PRAYER
Plaintiff prays for actual and punitive damages against Defendants ________________'s
and ________________. Should Defendant ______________ assert a claim in this case, the
Court should pay its claim out of any recover from Defendants ________________ and
________________. However, Plaintiff's attorney should be entitled to a lien for their work in
obtaining payment of the claim of Defendant ________________.
Respectfully submitted,
___________________
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