Workers' comp shoulder injury: treatment record summary

Brief

Warehouse worker with a rotator cuff tear, two surgeries and 18 months of physical therapy. The adjuster needs a clear summary of treatment to date, gaps in care, and whether the current therapy plan follows the usual guidelines for this injury.

What we need

• ✓Two-page treatment summary for the adjuster
• ✓Table of visits, procedures and work status
• ✓Notes on gaps or departures from typical guidelines

Records

Orthopedic notes, operative reports, PT notes, work status forms, imaging reports.

On a real case, records open in the encrypted workspace only to the consultant the firm hires.