What types of medical records are necessary to prove a brain injury?

Proving a brain injury is an important part of the legal process. In California, there are certain types of medical records that are necessary for establishing liability and awarding damages in brain injury cases. First, medical records must demonstrate a relationship between the injury and the incident or cause of the injury. This includes medical reports from the emergency room, diagnostic imaging results, and laboratory tests. Physicians can also provide written opinion statements that demonstrate a link between the incident and the injury. Second, medical records must demonstrate the severity of the brain injury and its effects on the individual. These records may include physical therapy, neuropsychological, and psychological evaluations. They may also include speech-language pathology and occupational therapy evaluations. Third, medical records must document the course of recovery for the individual. This includes medical records from hospitals, residential programs, and inpatient and outpatient rehabilitation programs. A physician’s description of the individual’s status should be included in the medical records. Lastly, medical records must show the individual’s projected costs for future medical care and treatment and the effects of any permanent disability on the individual’s ability to work. These medical records must be thorough and accurate in order to prove a brain injury in California. Collecting and organizing this necessary medical documentation is referred to as “medical mapping” and is often done by a specialized brain injury attorney.

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What types of medical records are necessary to prove a brain injury?

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