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2. Medical Report
Prepared for The Court on
Mobile Doctors
MrSample Report
Claiman I's Address
Claiman I's Dale of Birth
Instructing Pany
Instructing Pany Address
Instructing Pany Ref
Solicitors Ref
Corax Ref
Primary Raferrer
Date of Examination
Medical Expart
E xpen Oualificatio rls
lThe L8ne
Anytow n
I1 II
01Z0L198L
Mobile Doctors
PO Box 6334, BaSildon, SSJ4 OGW
1Z34567B
Test Solicitors
Thurisday , 3rd June 2010
The Gumplion Centre, Glydeqale. Bradford, BD5 OBO
Dr Corex Reports
A DoCtor
MadicaJ Report an Mr Sample Raport, datad: DM £i/2010 by Dr Corex Rapons Page 1 of 9

3. Medical Report Prepared for The Court on
Claimant's Address
1 The Lane Anytown AA1 1AA
Claimant's Date of Birth
01/01/1980
Instructing Party
Mobile Doctors
Instructing Party Address
PO Box 6334, Basildon, SS14 0GW
Instructing Party Ref
12345678
Solicitors Ref
12345
Corex Ref
545370
Primary Referrer
Test Solicitors
Date of Examination
Thursday, 3rd June 2010
Place of Examination
The Gumption Centre, Glydegate, Bradford, BD5 0BQ
Medical Expert
Dr Corex Reports
Specialism
A Doctor
Expert Qualifications
N/A
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 1 of 9
TechwardsDownloadFile

5. Section A - Summary
This report has considered the symptoms that tha Glaimanl allages have occurrad as a resull of tha accident
and has reached the conclusion that the Rationingsymptoms ara relatedto tha accident:
Attributable
Pain and 5liffne55 in lhe neck, radiatingto the
2 months
nght ishOuIder
Pain and Sliffne55 in lhe Thoraco-Lumbar Spine 12 months
Psychological Symptoms (manile5l aS:
Generalized anxiety , Fear of travel, Insomnia, 12 months
FIaishbaCkis)
Soft lisisue injury to lefi IOwer leg 9 monlhs
TimB Off SOFA: 1 week
Future Treatment: I nould racommand a coursa of driving lessons.
MadicaJ Report an Mr Sample Raport, datad: DM £i/2010 by Dr Corex Rapons

6. This report has considered the symptoms that the Claimant alleges have occurred as a result of the
accident and has reached the conclusion that the following symptoms are related to the accident:
Symptom Attributable
Pain and stiffness in the neck, radiating to the right shoulder
12 months
Pain and Stiffness in the Thoraco--Lumbar Spine 12 months
Psychological Symptoms (manifest as: Generalised anxiety, Fear of travel, Insomnia,
Flashbacks)
12 months
Soft tissue injury to left lower leg 9 months
Time off Work:
1 week
Future Treatment: I would recommend a course of driving lessons.
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 2 of 9

8. Section C - Documents
Mr SsuYple Report
DateofBirth 01/01/1980
Section E - Personal devils
Se tio B I struc i ns
I hava been instructed to as fdne Ihe Claimwx and provñfa a ful and detzgW report dealing wñh any relevant
pre-acddent rrmlfiW hisaxy. IU &kajed injuries sustzgned, treaanent recaNod, present siazzt+on and
The information contained in Ihe reportiSb¥9ed onthat supplied tome by theClient.A
letterof lstruction fromMobile
Identification.Passport anduti'rty bid.
Section D - Claimant's details
Date DI examinahOf
Name of instructing
solicitors/agency
E.1 Gender Male
E.2 DofninaM Hand
E.3
E.4
E.9 Family Status
E.B
E.7
Ri§$1t Handed
Has spnuse/partly and cNldren at home
He has we dependent chdd.
Oependnm inckide.
ChJdren bet«reen5and 11 years old.
Donbjr
FBI time
MobZe tors

9. I have been instructed to examine the Claimant and provide a full and detailed report dealing with any
relevant pre--accident medical history, the alleged injuries sustained, treatment received, present situation
and prognosis. My report is prepared for the Court.
C.1 The information contained in the report is based on that supplied to me by the client. A
letter of instruction from Mobile Doctors.
C.2 This first report is without notes except where requested by the medical examiner.
C.3 Identification: Passport and utility bill.
D.1 Claimant's full name Mr Sample Report
D.2 Address 1 The Lane
Anytown AA1 1AA
D.3 Date of Birth 01/01/1980
D.4 Age(at time of
accident)
30
D.5 Date of examination 03/06/2010
D.6 Date of report 03/06/2010
D.7 Name of instructing
solicitors/agency
Mobile Doctors
E.1 Gender Male
E.2 Dominant Hand Right Handed
E.3 Domestic Status Has spouse/partner and children at home
E.4 Dependants He has one dependent child.
E.5 Family Status Dependants include:
Children between 5 and 11 years old.
E.6 Work Doctor
E.7 Job Status Full--time

10. Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 3 of 9

12. Totd visits to hospital. 1
Has'pital. Bradford Raynl IQ
General heakh He telb me that he hae always enjoyed good heakh.
Section F - Accident details
Accident Date
Vehicle
Protection
Movement
01/01/2010
Early morning
Hatchback car
The driver
He was weaMg a seattxgt with a headrest fitted.
He telb me that ihe vehicle was stationarymd was M from
There was extensive damage to the vehicle.
Section G - Treatment
Totalreh t›imhon visits.3
Traa Provider PhysJottzaraplst
Area(s) treated. carvlcM apbo
Self Help
Treatment review
Ibuprofen 4tK¥ng, three daily
Se tio H I juries
H.2 Pain and stiffness in the neck,radiating to the right shr›uIder
H.2.1 Or¥0ot W'itNn 34 hours of the accident
More Ihan we preparation las'tog over we month wñh
WNIst I have not been provided wñh the Ckumant'e medical
records to confinYi or refute these cIakY s,Ihe aIx›ve history
appears tobeconsistentwithIhenatureandextentofthe
C@M8f t'B III iES.
The Ckumanthas fo¥owed a hone exercise/seIf-help
He remerr ›ers being thrown forwarde and backwarde in ihe
vehide.

13. E.8 General health He tells me that he has always enjoyed good health.
F.1 Accident Date 01/01/2010
F.2 Time of day Early morning
F.3 Vehicle Hatchback car
F.4 Situation The driver
F.5 Protection He was wearing a seatbelt with a headrest fitted.
F.6 Impact He tells me that the vehicle was stationary and was hit from
behind.
F.7 Severity There was extensive damage to the vehicle.
F.8 Movement He remembers being thrown forwards and backwards in the
vehicle.
G.1 Medical treatment Total primary care visits: 1
Total visits to hospital: 1 Hospital: Bradford Royal Infirmary
G.2 Rehabilitation Total rehabilitation visits: 3
Treatment Provider: Physiotherapist
Area(s) treated: cervical spine
G.3 Self Help The Claimant has followed a home exercise/self--help
regime.
G.4 Medication Ibuprofen 400mg, three times daily
G.5 Medication type More than one preparation lasting over one month with
breaks
G.6 Treatment review Whilst I have not been provided with the Claimant's medical
records to confirm or refute these claims, the above history appears to be consistent with the
nature and extent of the Claimant's injuries.
H.2 Pain and stiffness inthe neck, radiating to the right shoulder
H.2.1 Onset Within 24 hours of the accident.
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 4 of 9

15. Description
The pain radiated dow n the nght hand side of lhe neck and into the right shoulder region.
Intensity
Severe Moderate Minor
J month 3 months Ongoing
Associated Headache
Affecting: houisehold, dome5liC, appetite
Medication: self medication
Duration up lo. 2 monlh5
Neurological Sequalae
Causing: left arm paraesthe5ia
Currently: resolved
Pre-existing Condition
The accident hais not aggravated any pre-existing neck condition.
Past Medical History
The Ciaimant states that lhere is no significant history of neck pain prior to the accident.
Neck examination
Neck examination show ed a isevere re5lnCtion in movement w ith associated trapeziu5
tenderneiss. especially on the left.
Neck Movement
Saggilal flexion and
degrees
12%
Normal
12%
In my opinion the CIaimant’5 Symplom5 are related lo a Solt tissue, w hiplash injury
affecting the neck region. On the balance of probability they are attnbutable to lhe
accident. This injury involves muscies and ligaments. There lie no evidence ol any
damage to nerves, vertebrae. Or ispinal cord.
Prognosis
I w ould anticipate that lhese lsymptoms w ill improve and reisolve by 12 months from lhe
dale ol the accident.
Resolution of Neurological Sequalae
Attnbutable to lhe accident lor up to 9 months.
Acceleration of Osteoarthritis
I do not believe thai this injury w illcause or accelerate any degeneration of the cervical
spine.
MadM Report an Mr Sample Raport, datad: 03/CG/2010 by Dr Corex Rapons
extension combined
Righl lateral rotation 65“ 80“
Righl lateral flexion 35“ 45“
Left lateral rotation 80“ 80“
Left lateral flexion 45“ 45“

16. H.2.2 Description
The pain radiated down the right hand side of the neck and into the right shoulder region.
H.2.3 Intensity
Severe Moderate Minor
1 month 3 months Ongoing
H.2.4 Associated Headache
Affecting: household, domestic, appetite Medication: self medication Duration up to: 2 months
H.2.5 Neurological Sequalae
Causing: left arm paraesthesia Currently: resolved
H.2.6 Pre--existing Condition
The accident has not aggravated any pre--existing neck condition.
H.2.7 Past Medical History
The Claimant states that there is no significant history of neck pain prior to the accident.
H.2.8 Neck examination
Neck examination showed a severe restriction in movement with associated trapezius
tenderness, especially on the left.
Neck Movement Degrees Normal
Saggital flexion and extension combined
120° 120°
Right lateral rotation 65° 80°
Right lateral flexion 35° 45°
Left lateral rotation 80° 80°
Left lateral flexion 45° 45°
H.2.9 Opinion
In my opinion the Claimant's symptoms are related to a soft tissue, whiplash injury affecting the
neck region. On the balance of probability they are attributable to the accident. This injury
involves muscles and ligaments. There is no evidence of any damage to nerves, vertebrae, or
spinal cord.
H.2.10 Prognosis
I would anticipate that these symptoms will improve and resolve by 12 months from the date of
the accident.
H.2.11 Resolution ofNeurological Sequalae

17. Attributable to the accident for up to 9 months . H.2.12 Acceleration of
Osteoarthritis
I do not believe that this injury will cause or accelerate any degeneration of the cervical spine.
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 5 of 9

19. H.3 Lower Back Pain and Stiffness
Onset Within 24 hourts ol the accident.
Description
The Ciaimant describes Central back pain, made w orse by prolonged standing, isitting
and especially painful w hen bending and lifting.
Intensity
Severe Moderate Minor
I month 3 months Ongoing
Neurological Sequalae
The Claimant did nol experience any paraesthe5ia, limb pain or Sensoryloisis.
Pre-existing Condition
The accident hais not aggravated any pre-existing back condition.
Past Medical History
Medical records confirm no Significant hi5lory ol low er back pain.
Thoraco•lumbar Spine Examination
Examination of the IOw er back revealed a normal range of movement w ith delight pain on
forw ard flexion and Some paravertebral tenderness, equal On bolh sides.
Opinion
In my opinion the CIaimant’5 Symplom5 are related lo a Solt tissue injury affecting the
lumbar spine. On the balance Of probability they are attnbutable to lhe accident. Thiis
injury involveis muiscles and IigamenlS. There is no evidence of any damage to nerveis.
vertebrae, Or ispinal cord or cauda equina.
Prognosis
Iwould anticipate thatlheselsymptoms willimproveandreisolveby12months from lhe
dale ol the accident.
Acceleration of Osteoarthritis
Idonotbelieve thaithis injurywillcauseor accelerate anydegeneration ofthe
ThoraCo-Lumbar spine.
H.4 Situational Anxiety and Psychological Sequalae
Manifest as Generaliised anxiety, Fear ol travel. Insomnia, Flashbacks
Onset
Intensity
7 day(5) after the accident.
The Ciaimant SayS thai he has been very nervous aS a
dnver isince the accident. ThiS hais not prevented driving, but
makeis him very w ary.
Severe Moderate Minor
Ongoing
Untreated bul medically verified
MadM Report an Mr Sample Raport, datad: 03/CG/2010 by Dr Corex Rapons

20. H.3 Lower Back Pain and Stiffness
H.3.1 Onset Within 24 hours of the accident.
H.3.2 Description
The Claimant describes central back pain, made worse by prolonged standing, sitting and
especially painful when bending and lifting.
H.3.3 Intensity
Severe Moderate Minor
1 month 3 months Ongoing
H.3.4 Neurological Sequalae
The Claimant did not experience any paraesthesia, limb pain or sensory loss.
H.3.5 Pre--existing Condition
The accident has not aggravated any pre--existing back condition.
H.3.6 Past Medical History
Medical records confirm no significant history of lower back pain.
H.3.7 Thoraco--lumbar Spine Examination
Examination of the lower back revealed a normal range of movement with slight pain on forward
flexion and some paravertebral tenderness, equal on both sides.
H.3.8 Opinion
In my opinion the Claimant's symptoms are related to a soft tissue injury affecting the lumbar
spine. On the balance of probability they are attributable to the accident. This injury involves
muscles and ligaments. There is no evidence of any damage to nerves, vertebrae, or spinal cord
or cauda equina.
H.3.9 Prognosis
I would anticipate that these symptoms will improve and resolve by from the 12 months date of
the accident.
H.3.10 Acceleration of Osteoarthritis
I do not believe that this injury will cause or accelerate any degeneration of the Thoraco--Lumbar
spine.
H.4 Situational Anxiety and Psychological Sequalae
H.4.1 Manifest as Generalised anxiety, Fear of travel, Insomnia, Flashbacks
H.4.2 Onset 7 day(s) after the accident.
H.4.3 Description The Claimant says that he has been very nervous as a

21. The SSn Number is 211--66--6690 driver since the accident. This has not prevented
driving, but makes him very wary.
the credit card number is : 4744--8500--0656--7798
H.4.4 Intensity
Severe Moderate Minor
Ongoing
H.4.5 Classification Untreated but medically verified
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 6 of 9

23. Past Medical History
The Claimant states that he hais no past medical history of Significant psychological or
psychiatric iIIneisis.
Psychological Assessment
The Claimant appeared w elladju5led. There w ere no SignS of any overt psychological or
psychiatric iIIneisis. He w as clearly upsel w hen tallung about the events of the accident.
On lhe balance ol probability the psychological Symplom5 from w hich the Ciaimant lie
suffering are reiated to lhe events of the anxiety . They do nol represent PoSt Traumatic
StresS Disorder.
Prognosis
I w ould anticipate that lhese lsymptoms w ill improve and reisoIve by 12 months from lhe
dale ol the accident.
H.5 Soft tissue injury to leh lower leg, ongoing minor
Description
The Ciaimant Suffered mom pain and bruiising over lhe left knee aiter lhe accident.
In“rtiaI Treatment
5uf›sequent
Treatment
None
None
None
Medical care
The Claimant w as under medical supervision for up lo 1 month.
Past Medical History
The Claimant denies any previouis Significant related symplomls.
Examination of the left lower leg reveaied a normal range of movement. There was
normal anatomy with no deformity ortenderness.
In my opinion theise isymptoms are related loa Self limiting Soft tissue injury affecting lhe
left lower legandare consistent wilhtheaccident asdelscribed lame
Prognosis
TotalhmeoN
Light duties/reduced
hour5
Up to: 9 months from lhe accident date.
1 w eek
None
Work Related Outies
The follow ing difficulties w ere experienced at w ork: IosS of mobility/stability, postural
difficulties and anxiety or depre5Sion for a pen0d Of Z months.
MadicaJ Report an Mr Sample Raport, datad: DM £i/2010 by Dr Corex Rapons Page 7 of 9
Section I - Effects on Daily Life

24. H.4.6 Past Medical History
The Claimant states that he has no past medical history of significant psychological or
psychiatric illness.
H.4.7 Psychological Assessment
The Claimant appeared well adjusted. There were no signs of any overt psychological or
psychiatric illness. He was clearly upset when talking about the events of the accident.
H.4.8 Opinion
On the balance of probability the psychological symptoms from which the Claimant is suffering
are related to the events of the anxiety. They do not represent Post Traumatic Stress Disorder.
H.4.9 Prognosis
I would anticipate that these symptoms will improve and resolve by 12 months from the date of
the accident.
H.5 Softtissue injury to left lower leg, ongoing minor
H.5.1 Description
The Claimant suffered from pain and bruising over the left knee after the accident.
H.5.2 Initial Treatment None
H.5.3 Subsequent
Treatment
None
H.5.4 Complications None
H.5.5 Medical care
The Claimant was under medical supervision for up to 1 month.
H.5.6 Past Medical History
The Claimant denies any previous significant related symptoms.
H.5.7 Examination
Examination of the left lower leg revealed a normal range of movement. There was normal
anatomy with no deformity or tenderness.
H.5.8 Opinion
In my opinion these symptoms are related to a self limiting soft tissue injury affecting the left
lower leg and are consistent with the accident as described to me.
H.5.9 Prognosis Up to: 9 months from the accident date.

25. I.1 Total time off 1 week
I.2 Light duties/reduced
hours
None
I.3 Work Related Duties
The following difficulties were experienced at work: loss of mobility/stability, postural difficulties
and anxiety or depression for a period of 2 months.
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 7 of 9

27. Section L -Resumé
Effects on Domestic Duties
The Ciaimant required unpaid asSiStanCe to help wilh domestic dulies lor an average of
1 hour per day for 2 monlh5 following the accident. E especially difficult were cleaning.
ironing and vaCuuming.
Effects On Household Duties
The Ciaimant required unpaid asSiStanCe to help w ilh household dutieis for an average Of
1 hour per day for 3 monlh5 follow ing the accident. E especially difficult w ere DIY, driving,
gardening, picking up his Child and Shopping.
Effects on Sport & Leisure
The Ciaimant normally lakes part in frequent (3-4 limes each week) leisure activities. Al
worst these were prevented by the CIaimant'5 Symplomls. They are cunently 50°4 ol
normal.
Activitieis particularly affected: trainingat lhe gym.
Effects on Sleep
The Claimant lie normally a good lsIeeper. At worst lhis was reduced to 50% of normal. II
is Cunently 80°A ol normal.
Section J - Future treatment and rehabilitation
Other Therapy I would recommenda courise of driving lessons.
Section K - Future job prospects
I nould nol axpeo Iha injuries sustained in the accidant to hava any fulure aPact on iha Claimant's job
prospects.
Name
5pecialiSm
Qualifications
GMC Number
Dr Corex Reportls
A Doctor
NBA
Medical Experience
I qualified in General Practice in 2O0G. I have a range of expenence in General Practice
bolh ais a GP principal and ais a SeSSiOnal GP. I aIisO have extensive hospital and primary
care expenence in lhe diagnoisis and treatment of soft tissue and musculoskeletai
injunes.
Medico•LegaI Experience
I have wnrten reports lor the Court lor over 1 0 years. I have an up to dale knowledge Of
the Civil Procedure RuIeis and am complia nt with my dulies under lhem. I have written of
200G reports ais a Single joint expert Since the WooIl reform s.
MadicaJ Report an Mr Sample Raport, datad: DM £i/2010 by Dr Corex Rapons

28. I.4 Effects on Domestic Duties
The Claimant required unpaid assistance to help with domestic duties for an average of 1 hour
per day for 2 months following the accident. Especially difficult were cleaning, ironing and
vacuuming.
I.5 Effects on Household Duties
The Claimant required unpaid assistance to help with household duties for an average of 1 hour
per day for 3 months following the accident. Especially difficult were DIY, driving, gardening,
picking up his child and shopping.
I.6 Effects on Sport & Leisure
The Claimant normally takes part in frequent (3--4 times each week) leisure activities. At worst
these were prevented by the Claimant's symptoms. They are currently 50% of normal. Activities
particularly affected: training at the gym.
I.7 Effects on Sleep
The Claimant is normally a good sleeper. At worst this was reduced to 50% of normal. It is
currently 80% of normal.
J.1 Other Therapy I would recommend a course of driving lessons.
I would not expect the injuries sustained in the accident to have any future affect on the Claimant's job
prospects.
L.1 Name Dr Corex Reports
L.2 Specialism A Doctor
L.3 Qualifications N/A
L.4 GMC Number 1234567
L.5 Medical Experience
I qualified in General Practice in 2000. I have a range of experience in General Practice both as a
GP principal and as a sessional GP. I also have extensive hospital and primary care experience
in the diagnosis and treatment of soft tissue and musculoskeletal injuries.
L.6 Medico--Legal Experience
I have written reports for the Court for over 10 years. I have an up to date knowledge of the Civil
Procedure Rules and am compliant with my duties under them. I have written of 2000 reports as
a single joint expert since the Woolf reforms.
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 8 of 9

31. Section N - Signed & Dated
fi.I uru erBar¥ drBnzy €reerric gdr0y in |sepamg and jp ›g axicBrx s is a d-aCa«t rathu a en pity
‹:z. i mmtfxs ihava maseuw Laos arms warfare rsenea a ineds rapon w m mm k•o•s•t/e
Section M - Declaration of Independence

32. 1. I understand thatmy overriding duty in preparing this reportand giving evidence is to the Courtrather than to the
party who engaged me.2. I have endeavoured in my reportand in my opinion to be accurate and cove r all relevant
issues concerning the matters stated,of which I have been asked to address.3.I have endeavoured to included
within this report those matters which I have knowledge of,or of which I have been made aware,that might
adversely affect the validity of my professional opinion.4.I have indicated within this reportall sources of
information used in its completion.5.I have indicated within my report the identity of any person,other than myself,
who has carried out tests or experiments thathave been relied upon in its completion,including their qualifications
and experience. 6. I have not, withoutforming an independentview,included or excluded any information thathas
been suggested to me by others.7. I will notify those who have engaged me immediatelyin writing of any reason
my existing report requires anycorrection or qualification.8.I have attached to my report: a) All written instructions
given to me;; b) A note of any oral instructions given to me;; c) Any supplemental instructions given to me since the
original instructions were given;;9. I understand thatmy report, subjectto correction before swearing as to its
correctness,will form the evidence to be given under oath or affirmation.10. I confirm I have not entered into any
arrangementbetween the parties wherebythe amountof paymentin respectof my fee is dependentupon the
outcome of the case.11. I confirm that my report contains a comprehensive summaryofthe conclusions reached
and includes anyrelevant pre--accidentmedical information and history,treatmentreceived and presentcondition,
dealing in particular with the capacity for work (where appropriate) and giving a full prognosis.I have fully
assessed the Claimant's injuries to establish the extent and duration of any continuing disabilityand impacton
daily living in my opinion.12.I confirm that I have made clear which facts and matters referred to in this reportare
within my own knowledge and which are not. Those that are within my own knowledge I confirm to be true. The
opinions Ihave expressed representmytrue and complete professional opinions on the matters to which they
refer. 13. I am aware of the requirements setoutin Part 35 of the Civil Procedure Rules and the accompanying
Practice Direction,the Protocol for the Instructions ofExperts to give Evidence in Civil Claims,and the Practice
Direction for Pre--action conduct. 14. If the Claimant's symptoms do notresolve in line with my stated prognosis,it
may be necessaryand appropriate for further medical evidence to be obtained.
N.5.1 Signature
N.5.2 Date 03/06/2010
Medical Reporton Mr Sample Report,dated: 03/06/2010 by Dr Corex Reports Page 9 of 9