How to document and submit all medical treatment records for a car accident injury claim in PA

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.

Disclaimer: This article is for informational purposes only and does not constitute legal advice. Consult a qualified attorney to discuss your specific situation.

Detailed Answer

When you file a car accident injury claim in Pennsylvania, submitting complete and well-organized medical treatment records can strengthen your case. Below is a step-by-step process to document and deliver these records efficiently under Pennsylvania law.

  1. Request Complete Records
    Contact every medical provider—hospitals, specialists, therapists—who treated you for accident-related injuries. Ask for:
    • Emergency room notes
    • Diagnostic test results (X-rays, MRIs, CT scans)
    • Physician progress notes
    • Physical therapy and rehabilitation reports
    • Medical bills and statements
  2. Obtain a Medical Authorization
    Under Pennsylvania Rule of Civil Procedure 4009.1, you must sign a HIPAA-compliant medical authorization form so opposing parties can review your records. Link to rule: Pa. R.C.P. 4009.1.
  3. Organize Chronologically and Index
    Arrange records by date. Create an index with:
    • Date of service
    • Provider name
    • Type of document (e.g., “MRI report”)
    • Page numbers

    Number each page and label sections (e.g., “Section A – Hospital Records”).

  4. Summarize Key Findings
    Prepare a one-page summary highlighting:
    • Initial diagnosis
    • Recommended treatments
    • Surgeries or procedures
    • Ongoing care needs

    Include referring physician notes to show causation between the accident and your injuries.

  5. Submit via Discovery or to Insurer
    If you’ve filed suit, serve the records and medical authorization through discovery under Rule 4009.1. If you’re in pre-litigation with an insurer, check your policy’s instructions for electronic or paper submission and confirm receipt in writing.
  6. Keep Copies and Track Deadlines
    Maintain certified copies of everything you send. Pennsylvania courts generally require responses to written discovery within 30 days. Use certified mail or a courier service with delivery confirmation.

By following these steps, you demonstrate organization, transparency, and compliance with Pennsylvania procedural rules. Well-documented medical records can help prove the extent of your injuries, justify your damages, and expedite settlement or trial.

Helpful Hints

  • Save digital and paper backups of all records.
  • Use descriptive file names if submitting electronically (e.g., “2023-05-01_CherryHospital_ERNotes.pdf”).
  • Regularly update your medical summary as you receive new treatments.
  • Confirm all redactions comply with HIPAA and Pennsylvania privacy laws.
  • Consider obtaining an expert medical review to highlight critical injury details.
  • Check statute of limitations: most Pennsylvania car accident claims must be filed within two years of the accident (42 Pa.C.S. §5524).

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.