< >Our File:<<File No>>Claim Number:<<Claim #>>

Insurance / Legal

Delivered by courier

< > < <drfirst> > < <drlast> > </drlast> </drfirst>

<

>

<<CITY/PROV>>

< >

Dear < > < <drlast> > </drlast>

RE: < > < >

DOB:< >

DOL:< >

Please find enclosed medical documentation for the above named individual.

Please note there is a tight deadline of DATE for this report.

If you would find it appropriate to perform a/an IME/DOC REV, could you please provide us with a date you are available for this IME/ DOC REV as well as a quote for your services prior to commencing any formal document review.

We enclose the Letter of Instruction from our client, < > of < >, dated <<LOI DATE>>.

Thank you for your consideration.

Yours sincerely,

Western Medical Assessments Corporation

Roger Hodkinson M.A., M.B. (Cantab), FRCPC

Medical Director

RGH/sz

Encls.