Better than a template and created by a lawyer. Try this legal app. The Personal Injury Pre-Litigation form is a document that is used by an attorney to investigate and gather information about an individual's injuries sustained in an accident. This information is then used to help the attorney determine if the individual has a case that should be taken to trial.
Requirements:
Initial Documents
Initial Letter – Client’s Insurance (Info Request)
Initial Letter – At Fault Insurance (Attorney’s Lien & Info Request)
Initial Letter – Client’s Health Insurance (Right to Reimbursement)
Initial Letter – Medicare (Conditional Payment Letter)
Initial Letter – Medicaid (Lien Request)
Letter – Client (Blank)
HIPAA Compliant Authorization – Law Firm
Letter – Medical Records Request (1 – 10 Medical Providers)
Letter – Billing Records Request (1 – 10 Medical Providers)
### Demand Package / Settlement
Affidavit – Client
Letter – Client (Settlement Documents)
Letter – Client (Closing)
Letter – Demand (Less Than Policy Limits)
Letter – Demand (Policy Limits)
HIPAA Compliant Authorization – At Fault Insurance (1 – 10 Medical Providers)
Letter – At Fault Insurance (Blank)
Letter – Bill Reduction Request (1 – 10 Medical Providers)
Letter – Statutory Lien Reduction (1 – 10 Medical Providers)
Limited Power of Attorney (Sign Settlement Checks)