TRAINING BINDER 2015-2024
PI INFORMATION FOLDER
Male Accident Template
1 min
mr xx is a xx year old caucasian/african american/hispanic/asian male who works at xx he has presented to our office with the chief complaint of xx his symptoms started as the result of a motor vehicle collision he was involved in on xx, 2017 the patient states he was the driver/front passenger of a \[make/model] that was traveling/turning \[accident location] and was struck in the rear end/side by a \[make/model] that \[accident description] mr xx’s vehicle sustained xx damage and the other vehicle sustained a xx amount of damage mr xx described the weather as sunny and the road conditions were dry he was wearing his seatbelt and the airbags were/were not deployed upon impact he was looking xx and was thrown xx he does not remember hitting anything inside the vehicle and he denies any loss of consciousness he was taken to xx by ems where he was examined, had x rays taken of his xx, and ct scans performed on his xx, given prescriptions for xx, and released the same day he was also instructed to follow up with his primary care physician since that time he has not had any further evaluation or treatment he states that his symptoms have gotten worse/stayed the same and affect his ability to xx (get dressed, do housework, walk, bend forward, sleep, drive, carry anything over 5 pounds) also he notes that he has missed work/school due to his symptoms/injuries and he has increased anxiety and tension when driving or traveling in a car since the accident due to the persistence and progression of his symptoms, he has presented to our office for further evaluation
