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Dear <Title>> <
RE:<
Trial Date:DATE
Our file number:<<File No>>
Location:ADDRESS
Court Room:ROOM
Pre-Testimony Conference Call:
Date:DATE
Time:TIME
Call-In Number:######
Participation Code:####
Trial:
Date:DATE
Time:TIME
Address:ADDRESS
Lawyer:NAME
This is further to our discussion regarding the anticipated date and schedule for the above-named specialist to testify.
Please note on the day of the testimony you are to contact <
At this time, we wish to advise you of the specialist's fees, deposit requirements and cancellation deadlines if you should find that you require the physician’s attendance. In order to secure a date and for the specialist to reserve his availability status for court on a definite basis, we will require a deposit in the amount of DOCTORS RETAINER.
This deposit shall be non-refundable once the date has been confirmed and scheduled. This deposit along with the signed attached documents, the Agreement to Pay Form, and the Terms and Conditions Form, will need to arrive at our office by 12:00 p.m. on DATE in order to confirm this reserved date.
If the specialist reserves trial dates/times for this case and the case settles prior to giving evidence, you must let our office know in writing no less than 15 days prior to the scheduled day(s) and you will be responsible for payment of <
Following are our fees:
- Deposit:$
(to hold date on a definite basis)
- To Sign 218.1 Expert Statement:$
- Pre-trial preparation: $ (two hour minimum)
- Testimony Standby:$
- To give evidence at trial:$ ½ day
$ full day
- Per diem:meals on the day of trial, taxi fares to and from lawyer's office and/or court, hotel and transportation costs if required.
- Western Medical Fees:$550.00 to cover administrative and clericalfees for communications and required arrangements.
Disbursements are in addition.
We request that you read the attached Agreement to Pay Balance of Fees Form. Please sign where indicated, and return to Western Medical Assessment Corporation.
We also attach our Terms and Conditions for your information. Please sign where indicated, and return to Western Medical Assessment Corporation.
We look forward to hearing from you with confirmation of a date and time for which you anticipate requiring the physician to testify at trial, as well as a date and time for trial preparation if required.
Thank you for your kind attention to these matters.
Yours sincerely,
WESTERN MEDICAL ASSESSMENT CORPORATION
Shiella Zook
Trial Coordinator
Agreement to Pay Fees Within 30 Days
RE: <
My signature below will serve as my agreement to pay fees charged by Western Medical Assessments Corporation for services rendered, and to make payment for same within 30 days of the date of the invoice.
Fees that may be charged are in respect of services we will request of the specialist as necessitated by the matter involving<
I have read the Terms and Conditions and Fee Schedule document (created in September 2003, revised and updated periodically since that time) and agree to abide by the conditions stated therein.
I understand Western Medical Assessments Corporation is obliged by the CCRA to apply the Goods and Services Tax to the services it renders, and is obligated by the Federal Government to request and receive this tax from all clients except those exempt.
CLIENT COMPANY
__________________________________________________________________________
SignatureCompany
________________________________
Date
WESTERN MEDICAL ASSESSMENTS TERMS AND CONDITIONS
Cancellations will be accepted until 12:00 noon, 15 days prior to trial without incurring late cancellation fees. Should you cancel after that time, or should the Claimant not attend appointment/s, there will be a ‘no-show’ fee as per the Appointment Confirmation Letter (plus any additional fee the specialist feels necessary for review of documentation).
A timely start is required for all trial dates with specialists. If the time for the testimony is likely to be delayed, the specialist may not be able to give testimony due to other commitments, in which case the trial will be treated as a ‘no-show’/late cancellation incurring a fee plus any fee the specialist feels is adequate to compensate him for review of documentation.
In the unlikely event that the trial cancels or the claimant fails to attend as scheduled after the confirmation deadline date, <
We enclose the “Agreement to Pay Fees” and the “Terms and Conditions” forms that we would ask you to read and sign where indicated, and return to us along with the deposit no later than the cancellation deadline date provided on the Trial Confirmation Letter.
As a matter of company policy, we may respectfully request a retainer/deposit as well as the signed attached documents: the Agreement to Pay Form, and the Terms and Conditions Form. This retainer/deposit will be refunded to the payer, minus an administrative fee, should the need for the services fall through and the cancellation deadline has been exceeded.
All medical documentation is to be forwarded to our office at least 21 days prior to the trial to give the specialist sufficient time to review the documentation. This is to avoid a potential cancellation of trial for which you would be financially liable.
__________________________________________ _____________________________________________
SIGNATUREDATE