< >

< > < <drfirst> > < <drlast> >Delivered by courier </drlast> </drfirst>

<

>

<<CITY/PROV>>

< >

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

RE: < > < >

Our File:<<File No>>

Claim Number:<<Claim N>> <<WCB #>>

Cursory Review

Report Due: ?? If Report Required

Thank you for agreeing to provide a <<cursory document review>> on this case. Please contact Dr. Hodkinson at 1-800-290-2189 before commencing a report only if your opinion is likely to be negative. If your opinion is likely to be positive please proceed directly to a report.

We have enclosed all documentation that has been made available to us. Please see the attached letter from our client, Mr. Rene Vandendooren of Premier Research & Consulting Inc., with background issues and questions to be addressed in your report. Please respond in a question and answer format.

If a report is appropriate, could you please address it to: Mr. Rene Vandendooren of Premier Research & Consulting Inc., and quote the above referenced claim number.

PLEASE ENSURE THAT YOUR INVOICE AND REPORT ARE SENT ONLY TO WESTERN MEDICAL ASSESSMENTS.

Thank you for providing your services in this matter.

Yours sincerely,

Western Medical Assessments Corporation

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

Medical Director

RGH/sz

Encls.