Nursing Home Case Records Collection List

Download PDF Version


Law Firm Name
Records Collection List
Nursing Home Case

  • Executed Contingency Form/Letter of Representation
  • Executed HIPAA Form
  • Medical Records : All medical professionals seen (including their notes), treatments, entry/discharge information, prescriptions proscribed, etc.
  • Insurance Information: For both the plaintiff and defendant.
  • Bills : Related to all medical visits/prescriptions.
  • Lost Wage Documentation: Include current/previous employer, place of employment, salary/rate of pay, potential bonuses, or other miscellaneous income lost due to medical malpractice.
  • Evidence: Obtain all photos or other pieces of evidence regarding the medical malpractice and consequent injuries.
  • Licenses: Clear copies of the driver’s licenses of all parties.
  • Executed Third Party Disclosure Form
  • Nursing Home: Obtain detailed information on the nursing home in focus as well as all of those providing care to the plaintiff at the nursing home. This includes all services offered by the nursing home, as well as those offered by its competitors, any previous litigation it has been a part of, and all information the nursing home has in regards to the litigation.
Client Reviews
Jonathan Rosenfeld was professionally objective, timely, and knowledgeable. Also, his advice was extremely effective regarding my case. In addition, Jonathan was understanding and patient pertaining to any of my questions or concerns. I was very happy with the end result and I highly recommend Jonathan Rosenfeld.
★★★★★
Extremely impressed with this law firm. They took control of a bad motorcycle crash that left my uncle seriously injured. Without any guarantee of a financial recovery, they went out and hired accident investigators and engineers to help prove how the accident happened. I am grateful that they worked on a contingency fee basis as there was no way we could have paid for these services on our own. Ethan Armstrong, Google User
★★★★★
This lawyer really helped me get compensation for my motorcycle accident case. I know there is no way that I could have gotten anywhere near the amount that Mr. Rosenfeld was able to get to settle my case. Thank you. Daniel Kaim, Avvo User
★★★★★
Jonathan helped my family heal and get compensation after our child was suffered a life threatening injury at daycare. He was sympathetic and in constant contact with us letting us know all he knew every step of the way. We were so blessed to find Jonathan! Giulia, Avvo User
★★★★★
Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa, Avvo User
★★★★★
Contact Us for a Free Consultation (888) 424-5757
Chicago Office Map