Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 82 I

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Predating Disability and Work Loss Letters"

I received this just a few minutes ago:


I am wondering if you'd give me your thoughts on the following topic: work release slips pre-dated. Meaning: patient was in a car accident on the 10th, visited the urgent care on the 11th, and shows up in your office on the 15th, and asks for a work release slip dating back to the 10th. Assuming you do think this person needs to be off work at the time they present to your office, what would you do? What are the legal and/or ethical considerations in this type of situation?


And would your response be different if, in the scenario above, the patient didn't see another other providers or urgent care before showing up in your office on the 15th?



Here is a "Mark's" RULE and suggested language:


August 15, 2012


Mr. Jones was in automobile accident on August 10, 2012, and was evaluated today for apparent injuries sustained in said accident. The clinical findings are consistent with the accident history as reported by the patient and the patient has been advised not to return to work until further testing and treatment. The patient has also reported that he/she has been unable to work for the preceding 5 days which is also consistent with the history and clinical findings and, therefore, appears to be a casually related work loss.


Should you have any questions or need further information, please contact me.

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