Personal Injury Narrative Reports — Rhode Island
Quick Answers — PI Narrative Reports
What is a personal injury narrative report? A PI narrative report is a comprehensive clinical document produced by the treating physician that summarizes the patient's injury, objective findings, diagnosis, causation analysis, treatment, and prognosis — structured for use in personal injury litigation.
How quickly does Cityside Chiropractic produce narrative reports? Within 48 hours of the request.
What makes a strong PI narrative report? Measured objective findings with normative comparisons, specific causation analysis connecting the collision mechanism to the identified injuries, documented neurological involvement when present, and AMA Guides impairment ratings when instability meets AOMSI criteria.
Can the treating physician at Cityside testify to the report's findings? Yes. Dr. Mulak is Expert Witness Qualified and available for deposition testimony in support of his treating records and narrative reports.
What Is a PI Narrative Report?
A personal injury narrative report is the clinical document that translates the treating physician's examination findings, objective test results, and clinical conclusions into a format that Rhode Island personal injury attorneys can use in insurance negotiations, demand letters, mediation, and litigation.
The narrative report is not simply a summary of office notes. It is a structured clinical-legal document that:
-
Establishes the mechanism of injury and connects it to the identified clinical findings
-
Documents objective measurements with normative comparison values
-
Identifies the specific injury diagnoses with appropriate clinical support
-
Addresses causation explicitly — connecting the accident to the injury
-
Quantifies impairment when structural findings support an AMA rating
-
Addresses prognosis and permanency
-
Is authored by a physician qualified to defend the findings under oath
What Cityside Chiropractic Narrative Reports Contain
Mechanism of Injury Analysis A specific description of the collision mechanics — direction of impact, estimated forces, vehicle position, occupant position — and an analysis of how those mechanics produced the identified injury pattern. This causation foundation is the clinical basis for connecting the accident to the findings.
Objective Examination Findings Computerized cervical range of motion measurements in degrees at each plane with normative comparison values. Orthopedic and neurological examination findings documented specifically — dermatomal sensory testing results, deep tendon reflex grades, motor strength testing in nerve root distributions.
PostureRay CRMA Mensuration Results Specific millimeter measurements of anterior translation and angular rotation at each cervical level on flexion-extension films, with normative reference values from peer-reviewed biomechanical literature — Penning 1978, Dvorak 1988, Wu 2007. When instability meets AOMSI criteria, this is documented explicitly with the AMA Guides reference.
Objective Technology Findings RightEye oculomotor assessment results with percentile scores and normative comparison. BTrackS balance stability index with normative range comparison. CNS Vital Signs composite scores by domain when cognitive assessment is performed.
Diagnosis Specific clinical diagnoses with ICD-10 codes — not generic "cervical strain" but specific diagnoses reflecting the identified injury pattern at identified spinal levels.
AMA Guides Impairment Rating When CRMA findings meet AOMSI criteria, an AMA Guides Sixth Edition whole person impairment rating is documented with the specific methodology applied, the measurements supporting the rating, and the resulting impairment percentage.
Prognosis and Permanency A clinically grounded statement of expected recovery trajectory, ongoing treatment needs, and permanency — addressing the permanency question that most significantly affects Rhode Island PI settlement value.
Report Turnaround and Format
Narrative reports are completed within 48 hours of request and delivered in PDF format. Reports are formatted for direct use in demand letters, insurance submissions, and litigation filings.
Supplemental reports addressing specific questions or updated findings are available at any stage of the clinical relationship.
The Difference Between a Standard Clinical Record and a Cityside Narrative Report
Standard chiropractic SOAP note: "Patient reports neck pain 6/10. Cervical adjustments performed at C3-C4, C4-C5. Patient tolerated well. Continue current plan."
Cityside Chiropractic narrative report: Cervical rotation restricted to 22 degrees on the right and 27 degrees on the left — representing 69% restriction from age and gender normative values. Right C6 dermatomal sensory change — thumb and index finger numbness. Diminished right biceps reflex. PostureRay CRMA mensuration identifies 4.2mm anterior translation at C5-C6 on flexion — exceeding the established instability threshold and meeting AMA Guides AOMSI criteria. AMA Guides Sixth Edition whole person impairment rating: [X]%. Causation: The identified multi-level cervical instability and neurological involvement are consistent with and causally related to the rear-end collision mechanism of [date] — specifically the rapid extension-flexion sequence applied to the cervical spine by the collision forces.
The difference between these two records — in terms of what a Rhode Island PI attorney can do with each — is the difference between a claim that settles at minimum and one that reflects documented injury severity.
Contact for Narrative Report Requests
Dr. Mark J. Mulak, DC, MBA, MS, DACBSP®, DACRB, DAIPM, RMSK®, ICSC Expert Witness Qualified — Cleveland University (401) 272-5710 | drmulak@citysidechiropractic.com
Expert Witness Services → Deposition Testimony → For Attorneys →