Medical Record Review and Written Opinion — Rhode Island

What Is Chiropractic Record Review?

Chiropractic record review is a formal analysis of a patient's medical records — treatment records, diagnostic imaging, IME reports, and other clinical documentation — by a qualified chiropractic physician who has not treated the patient. The reviewing physician produces a written opinion addressing the specific clinical-legal questions posed by the requesting attorney.

Record review serves multiple purposes in Rhode Island personal injury and workers' compensation litigation:

Case Evaluation Attorneys evaluating whether to accept a case benefit from an independent clinical assessment of the existing records — identifying whether the documented findings support the claimed injuries and whether documentation gaps exist that could be exploited by the defense.

Causation Analysis When causation is disputed, a written opinion from a qualified chiropractic expert analyzing the medical records and connecting — or failing to connect — the documented findings to the claimed accident mechanism provides the clinical foundation for the causation argument.

Documentation Gap Identification Experienced PI chiropractic review identifies what is missing from the clinical record — undocumented neurological findings, absent objective testing, missing causation analysis — and what additional evaluation or documentation would strengthen the case.

Defense Record Review Defense attorneys and insurance carriers requesting record review of plaintiff clinical documentation receive objective analysis of the documentation's strengths and weaknesses — identifying areas for deposition examination and potential defense expert opinion.

Standard of Care Review When the adequacy of clinical care or documentation is at issue, written opinion on the applicable standard of care for chiropractic management of motor vehicle accident injuries in Rhode Island.

What Dr. Mulak's Record Review Includes

Document Review: Comprehensive review of all records provided — treating physician records, diagnostic imaging reports, prior IME reports, functional capacity evaluations, and any other clinical documentation relevant to the matter.

Clinical Analysis Assessment of the documented findings against established clinical standards — evaluating whether diagnoses are supported by documented findings, whether objective testing was appropriate and adequately performed, and whether the documentation is consistent with the claimed injury mechanism.

Causation Opinion Written opinion on whether the documented clinical findings are consistent with causation by the claimed accident — addressing the specific causation questions posed by the requesting attorney.

Written Report A structured written opinion report containing the documents reviewed, the analysis performed, and the specific opinions reached — formatted for use in legal proceedings.

Record Review Turnaround and Fees