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I I " " " " " " I' , " ,. ;, " ,." "I ~I ~ ~,! I 'I , i , ,.' ,,-': ," " .-, " ,., " "1\ Ji ji' " ," ~ ,. ,,' ~ H 11 , fJ;V\~i4 'li: '\ ;'j' " '\ " " ii " 'it\, , , "', i. " \ \ i " ". ~ I' , ,[( " H, ,. " ,. " ,1'- I ! " " " " " Ii \; " I' ',. ji " ," ,. " ;I' ,,' ,. I" ''1' " ,\, . " " " ',i ii " " ,. " , , n ,i ,I' Ii ,. .~ J , ~' ""i ~I ! " I " ~ ,. " " di 1.1' ,," " .," .. .. d i ~ ,. , , ,,,,I ,. /, " ;" " j; ,. ;< t, /' ;!' ,. " " " I" 'I' "' ,,', I. .,I ._1\ " " ,~ .;,',p'.,;) "i' ,., , ',lt, "I I~ ; :.) j ',',: I.' 1(, ""';":1 n !, Schmlclt'i\nr:l Ronl.:i\ PC ^tt~rnm Mill ~~u",'I~rl M I ~w r.' IQgllmll.." "'''''b\llf' ,,,,.,\110111. II I~I 111/ Jl .tlQQ ,....., @JULl6Q ,. ';':'!i,"'v~Wt'aWVJ~~~t*n)JM~~Xt:t:i<fi~~9M~~P~)M;;~l:~y~~'~',~~4{\~;nl~:~'Kl~~~f~~~~1,~~A!flt~~t&l~},!iil-(6xi~~;:~f);'tJ"li.l~i<<~1'1I~lXil{J,,~._' . ,""t),'tl-__..._",.., ":"".' ,,_. _ "...,.,-"(.,.-",,.,li,t\,<..ttl~,~!i'r''-'.:l\'" 11_.__~... . . , ~ -~ . -. . 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" " \. , ., " , fOll for"pr~ ~own ~he p~epa, hi~ting two oth~~ phi\~ren on ~he WilY down, (i. 'rl~e nex\: Q/lY, Snt"nh'!3 mO\:\ler,. petitioner l<ill\berly lIyme!'!, ~ool~ I)er to Holy spi.dt \loppitpl, /It whiCJh time ~hey di.poovereq that 13<\ra\) lw:\ a\lcfereq a !'!H1pU /lV\11pion fl"po\:ure proj eo\:ing between t.he ~i.p of ~he l<\\:etc\l mpllsolu!'! and \:\)e tpl\HI in her righ\: an~le, 7. On Jlme 2, I~illlberly HYlllel3 t:ool~ Sprp\l 1:0 Ct"piglhllt~, M, p" of CUII\berlp\lQ Ot"t\lorlediQ 1\spooi<lte8, who oonfirmed thpt the ~ight diatal fibula Wal3 fr<\ctureQ, 0, Dr, PUltz then put Sarah in p full fiberglaps leg oa!'!\: and inat.ruoted her to we<lr it for four weekp, 9. 1\13 SElt"alt' 8 pain and disqbmfot"t oontinlled <lfter the oallt \~a!'! removed, he h<\CI her on a home exerciPe progt"am whioh, to tlate, ahe oontinllell, (Please Elee OOI?iep of medioal ;t:eoorda pttPDhed hereto aI3 Exhibit 111\, II)" la, Sar<lh Hymes' medioal expenElea in p11 totaled,On~ Thouaflnd, One Hundred, Ninety Three ($1,193,00) Pollflrs, (See oopies of medical' bills attached hereto <113 mxhibiE lIa,lI) 11, 'rhe 1'e\:i,\:ioner and 'l't"<lvellers have re<lohed a oompromiEle t"egat"ding the cl<lim for injuries suffered by petitionet" a minor in \:he form of <I lump aUm p<lyment in the ammlll\: of l~ight Thouaand, Two Hundred ($0,200) Dollars, in full fletl:1e\\1ent Of theiL" claim, " ,;... .,...;,!, :i , . " :\.;.1" 'l'he L'e\:it:;l.onfw ;I.n IlAt:i.fJf.iaet thAI: \:hl3 pf.f.or of. [let: tle1l1ent ip j ~\fJt flne1 l:oOPOnill)le II11e1 ~.rj \1H:t. ino to flooep\: \:110 , flAid off.e~ if. APproved by the Court, p, tn pUl:lll\i,ng \:he olrli,1l1 ngllinl'lt: f,mu"ef\ ~ohrn1flen, \:ha Pet:hione~" enEJAEJ13c1 t:he lflW f.i.l:1l1 of. soh1l1ic1\: And Rol1PfI/ l?,C" lindElL" A oont:inoel1oy fee pl"ovi.qing \:hA\: t:h13 flE\i,q JAW Hrm' IlhOlllc1 pe pdc1 ;Wr pt: <lny flett:lement: ob\:<li,ner.1 before \:he f.iUng of. flWlt: E\nc1 30t H' it i13 nsoel3l3f11:y to AOtUnlly t:L"y the oflfle, (l?J.eAlle /.lee t:1)e Contingent', 1/1313 1\gr13eHlenl: L\t:t:floheq hel"el:o flP Iilxhibil: "C, II) 14, sohmidt nnc1 RPIWfI/ l?,C, llMl i.no~ln:ed oOIlt:/.l .l"l3J.At:ive t:o obt:f\ining oopi'e/.l of" medical rl300rda find oPat:/.l E\aaooial:ec1 w:t.t:h the inve/.lt:i.gE\tion of \:l1il3 m<jI:t:l3I:, 15.,' '1'he r>etit:ionel" l"eql\el3tl3 t:hAt: YOUI: COUl"t: di.fltl"ibUt:e t:he pre/:lent: P/,\yl11ent of.l1Jight Thol\afmd, T\10 j:IUl1ql"ed (~1l,200,00) , PollE\rl3 PI3 t:ollowal Sohl11ic1t: And Ranoa f L', C I / . . . . . 1\tt:arneyfees (25t)""""" "",., """ '" "" ,$2,060,00 Sohl11idt: And Ranoa,. l?,C" RElserve for t:iJ.ing fees find oosts" , , , , , , , , , , , . , , ,~ 3.00',00 Sohmic1t And Ranoa / l?, C, / .'. ,. Costa inou~r~c1 to date""", "",., """" '" ....$ 53,23 CumberlAnd 9l"t:hopedio', ,,', I , , , , , I , , . , , I , , , , . . , , , , , ,~ 177,00 Daup, hill Deposit, Cmnp Hill, CumberJ.und County/ PennsyJ.v<lnia, to be depo13ited in an aooount: marlced (HI follows I' . IIKimberly Hymea/ as Parent and !>IllturE\l Guardian of B!\l:nh Hymen, n Mi.110L', 'i , ,., , , . , , , , " , I , ,$5,019.77 TObal.."..".",."QO.200;OO 3 .,., " " " " .(. ". " " ,I d' '''I /. " ,. ;,'-' " " " " I' ii:: I' ,. " " ,,<' ',j' " " ",1 ..' " '!t. " " " .., 1 I " ." 1;1' " t'" " " ". 'I " " " " ,'" ,," " I,. " 't ; ,'ii I' ,I_I' " f" ,Ii " H l/ /i ' " " ,. I, " 'f' , " ,f .,' ,.. ", " ,. ,," I> " ,,', ,;1 " ,. 1 ,: : pltHl B 11' 1'\: ,.:,,", ,I,,:,; " :.....1','. '/" ,I' ,'I,ll,):'>: , "iI ,.;:d.1iii'''); I 'd .I\'i,"~'" i.h ",', " ;" -~\',;-;:,.,l(' " , ;'!I " " " " ", 'ii;i ,~ I I'il , Il " \~'I' f'~ .' ,'01. \ t,. ,\ I' . ~v ~g,' Cl'~,IA1W P~/, 01 t'i17 1\\I\~"~ r"\ ' 1'2f 1 Ii' I ",r'-I."'.."'.I '" M.:1', . 't".!~. !~",!;" PATX/:-:NT INf~CII,i~ATII:'N ~NAM~ I ' HYM(~6 ,1r;ARAt-1 EIf\Ti" 'IADPRJ;SSI' 13'fl I'lLIMME;:L AVt;;,\,I.IE '~r.~J'.R'rHPf\rl?:l 'lit n 2 n '.tl~W:1 AI~t:l1 "t;MfI-OYP:RI Li(lIl~MF'(,I:ly~r;, II~RDR~S6' I 'f:ftWRI:JH11 'I,L1'I'HERAN,...rrHNITY r.:YANtJl~f.Ii::A!-- " OMMt::Nr, \ '.. 'If' . ~:/i~ ;' .. '~AMt::' ~P.p'Rl'!;S61 1,1... 't1"1 , '. Ml;l. ' J~' ~,r~,l'\, .!$6~ ~: -";'.'-. . .,' '.(;1;':',' , '!I,I,' 1,\' t., "(1\ tit.; :' MXT DR' /rNP DR 1 ~rJ;R DRI PMXT p~, 9MF~AIN1' RT ANKL~ IN~URY t1~ "f~T ,1 N Sy, ~'mM\;NT' .b::" , :J;J' . ~g,i,!, 11~g! ,C)f!)lfJJ 1/97 2011;11;, ~qRIrnON' PT PI.,II~HIW r.1I:IWi\l h . ;~. ~ .., , l'. " ,.1' , ,~l.1;i RJ;ss, .OYERI , ~~'=1I 'f\i~I~ HI:ll.,YSI,,'RIT Htll~"F'ITA\..1 HII_I.., I) E;YI.YAI\(IA ~ . 1 I::MI~RIJ" NCY 1;;IZiRIVI 'f , " PT...iw.. ' ~ P6(!1~,,~t,;; ~IR '.\ l4'ii7L), ' ',' I::!.? i" '/IJiMeIYNI~ . IPA.l17U4:~' I-'\, #, 12' ::::r~ X I F ME;, 1;; RAI:1.!:' i ,., CII::C~IPAnCIN' 1:;"f/.If.igI'iT I I AMgc, ' 1:II~EI-04"" \ ZEIP.;.', 717-71.;;3,"441~~!' 1'9 C,Eel I 0'1 L (141)" I'-i 'I"h 'ill I;Ml~i~I)r:;NI:;Y. OI)NTACl' ~1~1;I)r~MAn CIN .. HY~lE:::; I k;~MBE:RI-Y f~t::l., Tel PT, III WCIR": f'H'III 89 HUMMKL AV~NLi~ ILEMqYN~ IPAfl7043 PH iI! CiCll..f,I/.iN I A!-- ~ qg '~4 ~LlN!WT i.)IRCI.~ 1 EI(l(ll t;I I'm ORJI.II" LeGOLS gD ORfup W1I.I..IA,'1 HYM!rS S';'I HI.IMMriL AYI~NLiL~ C:RE::;;::ILliR TRI.II:.t< ,( NO Rt::l., 1'0 PTI P 'WORk: ~~ "' INRI~ C:UMr."LW~L,ANt:l/F'A(L7P76i' I"'h 1/11 cAag JNFQRMATloN ~. RF-o 8CI~'RI::t::' gCI RATIii'NT TYFm~ ',~ , Hel$F,' 1~r;:,.RY' 1:::0'.1 I;; l NANe: I AI.. "dhS ,i,\ I YIS!'!' I::I..IN!J:: celr.I~1 gO~' ROLl,!, .:' 1"'0 v . " ..I, 'c, -'i/ Df\ I , ., ~ ., -.J BRT IN IY' MQTH!rR ACOIPRNT INfORMAT~ON ACO IND' 0 Joa RNLATEPI N Ar~IGHT OF 81" BPS AT FRI~NDa '\ 1 "CII::: 1\ T I, ON I ;', " PRe'fll NI'/1 ,STaR 'l',!i' ',{ ,f~,~ , I-~' f ,II,' '11' I::fr; ill :',\' PH II'. 7l7-763-4tlc)~" . ',r' ':tR!1 f'kl. . "i; . ,- " y -'I.\,~j; 1\ t,. I I\(E;~IRANC;E I Nf;I:IR~IIH I ON ."" ''',~ CI)!:i PQI~IOY I' ' qI'\O~',~ II . .,.' Ri::L F'I) VFY OAHn fl~I;CERT IAI.I1'1-I II t~ll!iC~RT 1l'110N 1 ;;: L (3724 t 47. f, (I~."",S:;~4~ICICI,,', (I '.' '>(.~ 'IN " 001)-01)0....00 "0,.'; 'I" -. ",'" or, ,,. I' ~\ t'" II ',. ,...... ',Jo.t' t ..:' I ~ ~ \ . . .'...~ ... -, < OUARANTOR INfORMATION p~ R~L TO O~ARI D 11"I::MCiYNli: . '/PA/1704;] CiI:INTAI.::T NA~IE\. ISHIPPI'.lI~61iIURO' ,'PAI PH III ,:1' ',ei~ l NI~LJRAi\(C:1:i I::CI . r,. sU1i1l3OR I Still ,C;o' '. 81 a .. 1:1 I !" ClNT. ClgRT 'r.~Hy.Mfm 1 Wtl.I~~AM . 1".',;11" ! ~'I: 1',-, \1.'1 '1;.:/ . 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IlIl11..h Arolll, ~t.Il, 01fl12711 ( ) ,.nwrllllc.l'nlll, M,IJ, 039524.L ( ) llnvhl Zlmm'\lIlRII, M,ll, 1JI156Jfi'll ) 01'1\ 1l~\'8hlfY, p,o, IlS110677r.1l ( I Flnllk I'rllclIl'llI, M.ll. 003IH3.11 ~ '( ) ....... ) JlIl\Illlhlll, (),O,OS,KlIi9911. __..I..lltllIlJllnnShlllrnn, M'P'01,12~i"'IF:.~ ~~_.~._...> OA111_ ___-" '1,~ . "k ,,, . f) " ..--- .', ..." ,oiI/~'..A" '. ' , c:n I . ~ I!.At!i' .... " ~).'.:~:\' , --- :," f..~ ~--;J .,,~,\ ',~~'f \0 . It. 'h-j' t' , ~ _----- "\;;1; 1 'i" " ".:!' ...---Y . " '1 \ii)SIUNATUllU . , -".~1.lJ,/IJ,O, . ~IN olloaR 1'01l" 1I1\~ I) "Mil PIIIlI>lIer 'Ill IlI1 11IHI'I!NHI!I), lllll \I'RnBCIlllilln MIIHT Il^NIIWllrm "1II1^Nll NI!CI!HH,\IIY" lIll "IIII^NI> M.ODICM.I.y NI!C\!HHMV" IN TIIIl HI'^CIlIlI!l.lIW, f'-'I: _-' t ,ifj~'1>DlIL ' U SlIl1STlTllTIl1N I'I1IIMIHSI111.li' !rl~!", ,"' PJl!". 111 Wtri lj.,'f\ t,.i'''' IJUi\II I\llFIU.~_tIMI1S . {J 1'"'" J,,- 4v/(, Id~ X~I , INf?d t"."', ,.;' , I . (..' I ,( " , '" j Cumot!dand Orthopaedic A~~odates, ero, 00 NqWl11llor Prlvo, Onnlp "III1,I'A 17011.6007 Pl10rw 717.Nl,Oll4<\ t Fox 71 NOHlOllO -...,.......-~-~_.---~-.-,..-_.__.._- Tlll1I11A~ Ii, MfllIl1, M,P" f,A,P,S, Wllllfll11 J, POlflOl1001l, Jr" M,P, OrAI\J W, full~, M,P, . ,I\\I\O~, 1997 ClomCloollfolll, M,D, Qr9ol11'llll Fnn111y Honhh COlltor $03 13rl\lgo fl I rolll N~W C\lmI1ol'lnnll, PA 17070 Rill SlIrnh IMh !'{yn1Qs . POllf Cl\lmi I flm wrltlng YOII h, I'lllllU'C\& to SlIl'nhBoth HynWR, n PII\lol1\ of YOlll'S ,who { SIIW In my oftloo 011 J\IIIO 2, \997, As yO\l woll know, SlIl'Ilh 11111 12-yolIl'-0Id whlto lCl11l1lo who \Il1fol'\\1I111\0Iy InJII\'lld hOI' tlgh\ IInklo whoil sho wnll pIIshod down Sll1110 s\ops nl hol' fdoml'R hO\lsrl on Mny 3\, 19\)7, She npplll'oi1lly slls\!lll1ud un hlVOI'slnl1 \YIlQ h\1\II'Y, Sho ROIIght I1wdlonl holp III Holy Spll'l\ {'lollpltlll Emol'gonoy Room 011 Jmlo I, 1997, X"mys woro obtnll1od which dOll1ol1stl'lltod II fl'uO\\ll'o. Sho Wus spllntod llnd slIbRoquOl1tly l'efol'l'od to aliI' ofOoo, On pl'OSOn\Atlon to 0111' oflloo, hor prlnolplIl oOl11pll\ln\ Is pnln OVOI' tho 11I\01'1I1118POO\ of hol' nnklo, Sho d\lnlos IIny olhol' ArOnS of InJllry, , She dllnlos IIny provlolls hls\ory 0/' slgnlljoun\ nnklo It\lmlos or frtlo\llres, Hor l'hyslolll Ol(um todllY dOll1onstl'utos hOl' unklo \0 bo ollllloully In good nllllnIllOI1\, There Is .. some swolllng OVol' tho IlItoml nspoet of hol' ul1klo Olld aho hus Il/(qulslto. tondornoas over tho lInlerlor IlIteml tuloflbultll' lIglllnont, Sho hUB 110 0111110111 l\lstllblllty of tho IInklo \0 gontlo strosslllg,' She hilS SOI1\O mild tondornesa over the distill physolIl plllto of tho t1blllll 118 wollntl ovor tho distill tlp of tho flbulll whoro II f1'1I01111'0 Is 1I0todol1 \Ilo X.ruys, No tendol'noSSOVOI' tile medlnl uspeot of the ul1klll,.. . , . I revlowod tho outside X"mYR todllY .IUIlO I, 1997, ThlR domonatl'nlos tho nnklo mortis 10 bo IntMt, Thoro Is no wldonlng of tho syndosn1Osls. Thoro, Is nil ossooUs dOllslly u\ tho tip of \ho dlstnl fibula oonslstent with nn IIvulslon 1'\'110\\\1'0, Tho physool plutos do not nppoul' to bo ' wldollod. " l udvlsod the Plltlent on tho dlngllosls of nVlllsloll fl'IIU\lIrO Involving tho I1blllll lllld'lo tho tulua IAtel'nl IISPOO! of thollllklo. I I'IlCOlnlnOlldod 0 short log wolkhlg cus\, She will 1'0\\\1'11 \0 aliI' offlco ' In " woeks for ouat off ollnloul o1<ul11llllllloll, If Ihoro la 1\0 tondamoas ovor tho unklo, we will stUl't hol' 011 0 I'ohubllltnlion exerolRo pl'ogl'lll1\ lit thllt pol lit, Tho prognosis of tho h~ury hovo been' I'evlowed with both tho pulioll\ IIlld hol' 11\0lhol'o I . PRAOTIOI; LIMlTtlo ro O!'1THOPMOIO BUROI;IW fll~l 8nrnh !lolh IlrnwN l\11w 2, 1997 PIlPO Twn ",. I, I. {' If rpl! hllVo IIIlY IjIJONlhmN Il1l'plJlmls In illY ,OvnlllntlnllllllQ tl'pntl1lPI11 PI' snrnlhplpilS!Jl'PlIll'rop In prmtnol mo, ,cWP/Joa , ". " ,. ,. II , 1'1, .. , ,\'1 ,. OJ , " .. jli " slnool'\lly, , "".. ~ ' " fo"':J QI'nt(\V;l1\1hz, tvw, .. I' ", ,. " ,e ,. .. ,. ",- " " " , , j; 'J. " ,I 1(,,' ,. "~I, 1-;' d' " " ,," OIll'OI"IIIIOIIII'UoIIII. T/1mI1I1Q If, Mnlll1' IlW" p,tI,q,s, LrC"IlU A ooorUO.a ' WlIlIl1m J, POll1o/1uPk, Jr" M,P, . LlcOIl" ltOi!52.Il),fi O/olu 1'1, FlIlI~, M.P, I.lc"m'"'}:ll"lln,~' OIJMnllA~ANP OI1TIIOPA!H>ICl A~SOIJI^T1!s, ~TP, 0\1 NOVUlIHHU (JIIVd . . 0",,,. 1M, PA 11011 -=-. --- -- ..~_..-" .." N.... .-,_._..,'S:::;Ircl h /-Iy-mes ij Alllllll'~ __.----:-___----.__._.______.______. PII',_Ci "..li!:.::9L.. ' Tllf: MOVl: PAT! P.NTI S UNOi:ll DUn CAIl/(, ^NO WAS S!:P.N I N DUll OfF! Ci: TODAY, S:;:m:;\ h Fon, HI Sil@j)SCHP.PUlP./l APPo'1 NnlITNT , A-pp1' 'i . ~'''$ A",! :tfIlU_....-.:rfllon ;6,J)~, Ofl,I, " . f _---;-~_--_____. (lo NOl B\lbllrrulO ~MI), )000190\010 SUblUMiOf' flftf"111'~1Io /,40, I!tSI 1"":1' , . ", 'lI1 " II"" ".. II " ,. i," " " , I'; If" i' ;. ,,, iJ " " " .'i ,I"''''' ( 'nVl\'UCfJ, ~1\I'lIhIMh a9 1-\\11111111'1 Avullllu LOnl0)'nU. ,Jli\ 17043 11llNlC 2, \997 " MUNUA Y AM ~po Ll1TTHR In alul11 010011\'0111, M,D,/jua ,hm41 2'1,1997 .lrlmlAY AM ~"rl\h Is 4 Woe~s poslulIsllng 1'01' 1\ \'Ighl (lIglnl t1\l\l\!n' li'no\lIro, ~he nnlos Ih(\1 sho Is FWO 1111(1 hnvlng no pllln In hor nnklu. I'll: lieI' ellsl WI1S rlll11oyO(l, ~hn hna no lonc\o\'nosa oWl' 11\0 lI'nol\,II'o sl\o, 01l1l111l\1I)' 11\11' Imkle Is In gpollnllgnl1wnl, Tlwro Is no Inslnbllll)' to gonllo 9\l'osalng, She Is Ilroaal)' rvv Inlnol. Sho hns somo motlerllto stllTnosa nn(lnpp\,ol<, O. of tlorsllloxlol1. 30" of plnnlJII' l1exlon IInd 10. of Inverslon/evorslon, DX, Post rlgh\ dlslnl l1hllllll' fl'llolll\'o I'l,: Indvlsotl tho Pl1tlOll\ on wlInn aonks, ROM ol<orolaos \11\(1 no sporls, Sho will \'O\\1I'n 10 Ihooffioe In3 woeks lbl' II ellnlonlnlld \'(\(lIogl'llphlo ovnhmllon, If sho hns ndoq\inlo ROM "lid good hOlllhlg, wo will got hor 1\\1 I1nklll rohnb oxorolso shoot, CWF/lms InOt 3 woeks Jill)' Ill, 1997 " 'fIIUnSnA Y I>M XR, RIGU'f ANKI..JC (3V) SlU'nh Is now 6 wooks poslrlght .~lIslnl l1hlllnr 11'no\\1I'o, Sho hilS no 00111plnlnls rofol'l1b10 to her 1'001; She hns boon doh1g S0l110 IIllht \'Imnlng wlthoullln)' )Jnln, 1'1l1 Shll hns 1\\11 ROM of hilI' nnklo nnd no 10ndQ1'l1oas 0'101' Iho f\'noll\\'o slte. Sho hns \10 olllllonl h1SIl\blllty, Sho hns no tondornnaa OVOI' Iho IlIlornllll' 1110dlnl Ilglll110nt 00111p10)(, . . . I " Ii . " XRI X'I'lI)'s of her r1ghllll1klo dOl\1onstl'lllo 11\111t0l111o nllgnl\1ont of tho 1\'no\uro, The t\'noture IIprenrs \0 bo solidly honted, Tho IInklo mo\'tlso Is Intllol, Thore Is no wldonl\lg of tho symleslnoBls, I'Ll 1 utlvlsClt Iho )Jullonl on \'ol1lrnlng to 1\111 lIollvlly, Sho only noeds to rotllnl 10 the offioo on u pl'II hnsls, ' ~ DXI Benlod rlllhl distill Ilbullll' !'metlll'o CWF/ltus RTOI pl'l\ i(\ d~~I, i ti~ , '~(t4 : '1. ~' 4\ 1, '(II ~, a, '" 6, liB, " Cumberland Orthopoedic A~so6il;1tes( LTD. 110 Npvpml'Or Prlvll, O~tnrlllllll fA 1701'l-6Q1l7 Phul1071NI11'1l0.14 , Fo~ 7j7.7oItOIlGO .-- TI1ornllo ~I, Millin, M,P" f.A,o,S, WIlIlf.lfl1 ,I, l'olAOhoolll \Jr" M,P, prolu W, FIlIt~, M,P, ,QAf!.lli.!LFQR, youR, EII3~~OI"8.SSCM1, ii/oVAte tlw InJureq ArM I\S m\loh All, pllllsllllll fllr~he flrs~ i!~a qQYlI, " The InJ\lrllq Arell IIhnlllq .110 IlloVl\t(jq nnloh hluhor tllllt\ VllJ.WhOArt, IiluVAtlnn !'oqlloIlS prOSQllrll 1I1HIlIWollll1a wlthl" thfJ Ol\st' If YPllr hllnq or fQ<lt l:lo(Jllrnes swpllfJlI I1t IIny time, oleVl1te YI'III7 Ol\llt ""moctll\~eIY fPl' Hi 11Ill1rS, f!xurolsll YOltr flnllerll or toos Insldp YUill' Ollst I1S mlloh 1111 pUSlllllle, PIl nnt. stlok Anythlna Insldll Yllllr OClst for SI1I'lItohlna, Donat lot cllrt Ill' &l\nq \Jet Inside yo Ill' clld, Po' not pIIII tho, prate!11:lve cot~on Oltt pf your oost ShlOO thIs will Ollllllll thll OAllt to Irrltllte I1nd InJllro YOllr Ill<ln, Ootl I.l& hnmotlh\tllly If "ny of tho followlna ocourl A, SeveI'll pllln or prAmplng Ilnrlllr YOllr OIlS'~ thl\t eleVotliln "11011 not relieve"," Il, Abnorml\l swolllng thot CIlIISOS pllln or dlscolorlltlon of YOltl' fingers Ilrtoolll O. NllmbnOll1l of ynllrflnlJllrs or toes, ' 0, If YOllr Ol\&t lJooomesbrokol111t Clny preQ, Il, An 111'011 of Irrltl\tlon III~qllr YOllr OI1&t, FlborglAQIl clIsts qry In IIPPI'oxlnl~teIY ahollrll ~fter we Pllt them on, Kllop the flberglnsll CAst ololln "nq qry, Do n~ get ~~ w~' Hllvlng your III(ln In oontllct with II ,Wilt flnlnaonn pro lice II n r,'ltlltlon Qnd skin bllste,'lmt. If for some reOIlO'n It cloes get wet, YOIl must dry It cOInpletely, This CIl'r bo done by ulllng II hl1lr qryer O'n the WArm setting, It oould p05lllbly tllke lip to 2 hours to dry the fining of the 'IlCllIllt cenipletel y , "".. ,0, If you lire glvon 11 Ollst boot to Wenr~~YOU MUST WEAR IT AT AI-I., .TIMES WtlfiN WALI(lliQ, Thill 18 to' pt'oteat the bottcm of OurCl\llt. , 10, On your retllrn lIppolntrnent to get you I' log I1l\llt off I ploQse bring Il shoe lllld Sllok Qnd crutllholl,. . ' " 7, 0, 11, Please do not hOlllttlte to oontllot OUI' office with Qny qUestIons yoU I11PY hll\le regl1rdlhg the Cllro of your ClIst, . , Fol'm 20.Rev 0/03 " PRAOTIOG LIMITeD TO OIWHoPAllOIO aUMIlRY UI'!'!f:lI';~J 111111)?,\WIO M,~m. IY) 1~'Vt1ft~ nQvr \'It I' IIH l, rA 17~I.H'(l\l7 7J1/161-iW1~ 1'191(',1\ 10 1 /3";'I,W:.) I,! 1I."lw,1 ',l~t.y,uil 1\1/111/(11 ' INW9) 1',I'lO! 1 (e) f1.'(""1' I'IIIi\,),1I \1I/1r.j\l.1 1!1!y1 N: 1'~l\o"t ._~.... ri, '-~"",.. --. -~ .".. ...." --. ..... .'.,........ .. . ..... . .. l' .....". _. . O~hl~lIltli ".'., . "" . ,.. .-, ..., ..,. ., , ~.. ,-. ..' - . -. - . .. .. , . ... .... -. ... '.." ..,. . ,l1ym, ~f/lf/I 0\111 [.~ 1"11:1 AW (t/rJ\l.'f., I'A 717/16'HM>, I'~IIO, ,W2 ooMII.~,-!XXJl l'O III "InS, I/ltWI1 IJ') IIt'll!1 AYf WllHir., I'A 1/0>13 11711IlH~Il'; Ar.c1101 181?;! ~,III ,;<\3,/1 'I.\oIl 11M3 " .......-........--...... ......,.~--.'-... ....._... ..,__....~ ..M....~ ......... ...__............~.... .. ,.-., ..0.-...... ......-.... ....... ..... ...,...._. ..__. '--'00-,_. ~.~._.......__._--....'r...-..- .. rr,'p\O/~11 Cllf'.>lW lHIJ:t:l/ll ^",llm/rl\OrIiOil&~' ~jIlPI'Etl:HHO, 1',\ InIUI'.ll1(~ r'\''P\lIlY /'Olhy ~ ., ~IOIII'. q Olhul' 111(0 1\11~ut erriCIl~~ 1\11~(I) ......~....-...........-.,..,.. ..h..........'."__ I,m~ !1"~ln I' 0 I))~ ~:l,'X~;~ , (,I'm.3114141 1'(W(~(Xl:) rA'W HILI., 1',\ 170;') '!XXi! liym,llInrt/1 ...........-...,1'_...... '''_h !l1tvlc~ [11IQ(I) ",Itlonlllml ........................~..n".. ...........-. -. t,-. ..--. .............. .', 4.... ~. ..... -~..,... .. ...... ...... ~ _. .... ~ ,.__.. "_'n .._,. k'.'.. _.... ."OU ........_~... _._ _..... ...... ...... ,_ _..n.... .._...._.. .............. '. r.oJ~ Ill1ci!I' I!<>i! Qly/\;, c ellil'luq D,lun Plodder 1'1 ,~c,~ 1\'1011 , ' ....."....... ~.. ................. ....-........ ---.. ..-. ..~_... ..... ..0-........ ..._....... .....'~_.._.,.." ..... ,'........ ...._._.._.".._.._... __.,~.. ...... _... ............_., ...........,............~ .... ........ _.........._......._ OO/Ol/!ll H(l1:'~, :,6,'W I ~E n I Uli.li I'X IAT ,t\\lt-Ill [(I'I) J ,00 f.\l'O,~1 0.00 fU..T1 IlI,10l'1 (~?4, ~ 1',o,ILi.CI/I:, I'X'IAltil~t, CI(rHIl 1ll,11?'1 1'1','19,0 rv:CUl1llf OCt;UlilHl AI fW: 01"931 H~0,9 tcc 1Vf/1f , fAll ClI/II/()'1 Sr^IN~ CIi/~~/97 I'llP SUI, :11111.0 I',wn:m" III!I'I' -300,00 CiJM97 l1':A ewE IIIIEIO r/Xl6WUlr 111\111' -Zoo,I10 ~VIIM H(l1!'" :A'WI ~llll , \'r~i~ II)5TOP/fIrMIU1E f/lI mil I,~I O,C~ O,Cil fU~TI " 01~9rl [Q.I,/ r,oIHctl~~ fX-IAHPPI., C1C1;tll Ol~gSI 'r:Il19,l1 rv:clowr OCClllREI) AI 11:11: 01.,g31 fffO,9 ta:rOI1H. fAll ClI/IN(!l slAfN~; 1I1"!1~' Iij,Q fO,lrAIJ,'"FX I;'W rWREUI/rXlfX, 07/10/9/ INt'fl;, ':,Iff/I EI. II! Il\'iJZ'l 1(F.,wr/IPtOllnE flU VISIT 1.00 ~,oo ' ~,oo l~lll 1 I Ol~gl" a~4,~ t\\lI.EO:.lll FX'-lATEf(Al, Dumo OI,)gSI Fe<1fj,O I<:CWfIlr ():'J'J IlHIf) AI I(\~f. 01.10'31 Ei'l:)') ,9 rv:c!l)WI, fAU. ctl/fII..:t1 ~~TAIR; 01".9'" V5'I,O 101.1 r\AI':IX emE ((flRHIf/LWX 07/10/9/ , HfMj~" "'"'WIll:!" 7.l.5IO.II' x.f( N~:LE ~V \.00 Eli ,00 45,00 flW I I 01,1gl" f12~,Z 1'~IHcllg fX'IAHm, el["IO Ol"I~'1 Ei1'l9.0 N~;IO'm OCCUUlfIl AT 1/:11, 01"931 ,"1.1:0.9 Icr.WflH I FAlL f'!1/IN(f! srAIII" 011/1/91 OI~g~1 V:Yl,Q fO,.WAINX eMIr. IllliH:lH/fXlfX Fo~A r.WF. \IHEIll tlJ,'1t51tWf 111111,' "10,00 0/ /(i./97 1In1:~, ~NWI amI " 143 N',ldEll TO f1i.U! ,11If.Ul OWJ~TIaLr 1 NOlfl11 flO fPp/I:f1n 10 CCI.Uelllfl !'rslll ,~5,OO 1/!)/lIi/'J1 IIrt1!';, :.\'WlnWI ~I.lII~ I.~,r I'r 'fl'o',fl'; ,1.0 1.00 t'll,OO ~O,OO fU.ll . . J J " " i\~lnINll r<<lIrrPlolil A'.i~W, 'R1I1Nft'/ltH!lqVf: f/,/,I' IUH, f'~ II~I H{Y:l1 717/lljJ.~"1q r~~~"ll III 1 i"H\:';';,I.il Ihill/ed ~'I,lI(;".," \11/01/111 . 1;:01/\'1\ 1"1911 1 (r) P,':I;I l'I'\,IIf"1I \ll/If../H.l UI(~) 1'/'1 " .1',111'111' lI'''lI,'"I~1 ""..~., - ,.".-....~... . ." ~_. .- ..,.. .. >-..., .-,,".... ~, ,._ . M...." R ...~~ .."""., . ... , , do,... ".~_"'~ ..; ~. ... _.._ .... .._..... 't'..n .. ~ . "'~~""__'-_'_ .n" .... . "....... ".,_,. Iflm, ~f/'lll pUll [1,HIll! ;:BI/t 00181t:l.I\OO1 , Ifln~, 11Il1.INI co Hl AI:rIIUI liJII~ ~'~Ij !1IJ'IHW ..... ~...._,.._.,.... ",,'. ~"~"~'" .. .". ..". .-........ ...... .".,... ,'-.. . ""'-'..... .. ..-,. . -.. ~ ,~'.." _.. . '.. - ~ -" '. .., . -,., ........ '. . ,. . .,. . "~... -.,+ ... - '.- . -. . ~,lIvlc~ Illl~ll) I'dll&n! Ill") .... ~"''''-''''.''''''''~' ............... ....... <,..... ~ -......, ~~....- - -... L""" . ""'_H .'..,.~ ... ...' .. . _~'.. _.'n_.... ~...u _"~"~"~"""'"'' ...~ ."...~.,..~ "'~, ~... .,._. . ...... _... ..... .. .... . ' ' , . Cl)~' ~l1Crlp'lo:1 Qly!SIC Chal~~iJ 0,'9/1 I'ro((dH I'\.lc~ C,]$eh . .."u......_.~ ....M"....._......... ...... ...:-: ~....... !1M"" -~ "',:'" ~.. ........ ~._".~. ., r" ~ ~ .~""'''''' ......_.~....__.. .. ~""~". ..M.._..._..... .._~_ ...... ~ __H ,,_..... .~.,.._ .. ~,_.... ~._..__... 11/~1J/~7 Illa~l'! 719,~7 lIt"OSI lQ4,l 111,1')'31 V61,~ W/I 1'1\111 iV~M!tU)f t\'il.lICIlf., fX'IAlll!Al, CW:W ^f')f.I(G~If. fll1 ",Mill flO~111.HE 1tF.lf'iVH 00 RlI(fll rAY/nil 111111" -\3,00 CIIIl'a,1\ ~lnIlC"l TOI,jl, rhV Ol/ill/ill 1I11111~t:llM " ' , -...."....."...__....1~..ri .....___.W_..~h..~_M..._.M_~_._......., ^CC,':I/l1 l'\llallCa O,eil Chal~9] 1 !Y~,OO P.f'en f\11,1I1f& ~,~ 1\'1 lelloll l'i'Y'~lIlj 1 0,0.1 l'alll'HI 1l.1Iallr.a I iJ,r~1 111111101IC,' l'oJ1'<I1I1$1 .q~l,I.~1 IlieUIMIr.e 1\11,,11(& ! 0,00 lolal 1',"Y"~III\ I "nJ,1.1'l alld~ol llllallco I 0,00 Mjlllll,"11I11 I . .W,OO C<lllictloll 1\11,\11(&1 \17,~ CiJIl. f"'Y"~1I11 1 0,00 " f<<ll. MJ1I11mn111 177,00 " , "-; " 'j. " .. '.1' ,; ;',., " " ,. !:, " ,'1' " ,.. , , , " , " " " " I' , , 1 " " ,,' , I' .. If ;i II' ;; " H ;; t." -, "f, " "i ," " I, 'I" , ji; h II ." q:' I' " if' '. i' I, " Ii " " " ;.,j ,. " q ,I'," ; " H I' 'I " I' I.' 'ie ,. ,. , n " ~~;:\, ,~~I'I:r, i",I> _ ',Y.J"" ,,' 'I' '-/j(:r :.' " :'/;;:'\~"'I Jj";j'j,;'i-A:: , ii' fl~:,,~,)_ '~J,(1 ., " " " 1"- " .Ii "~I' " '. " " . oppp~nt:eq or when f\ P~\:~\:1.0!) \:0 APpo:lpt: 1\1'P~\::rAt:or!'l :II'! f:l.l.f3q,. WhioheYfll" r.1,l:!Jt: PrJC\U:I'l, +1\ mw 111<1t:t:~Il: I'lI\p1\1it:t:ecj \:0 m'p:~\:l"at:;~on, \:ria:t. 1'!1:f\I:\:1'! \:he f:lrl'lt: QE\Y t:he <l1.'b:l\:rAt:or~ hAve omwanecj \:0 ha~;!:' \:el'!\:imony, (p) I "gree I Wi:t.l not:~et:t:le or nego\:iAt:e t:he f\boye ol"im 01: flny proqeaq:l,ngl'! b<weq t:het'l3011. (ej If O:L:\.ent: t:ermin<l\:e<l \:\1i/3 Mreemen\: bEjfore reooyeFY 1 01 ~ent: "gl."e13/'l t:hat: .sCHMIP'l' A.ND ll.ONCA, 1:>.0, / 1311<\11 be ent:~,I:leQ t:o C\ l!L~e b<l/'lecl Hpon wOl,'~ctone '<lIlcl benefit: eonferreq, 3, To re:l.mbHI:/'lo SqUM+D'l' AND liONCA,P,C., ollt: .pf any 1.'\3ooyery, in E\clclit:ion (:0 At:t:orneY/pfees, flU ClOI'!~/'l c\nq e~peml'le/'l inoqrrsQ onClient/pbehalf:ln or<.1a1' t:o llm)te the olAinl, A13. /'l\.\oh aO/'lt:/'l anq e~pen/'les will be C\dY<lnoeq by SCHMIDT ANP {tONOJ\" l?; C. /.'\I'l t:hey al:e ineq1'recl, Suoh oost:s anL1 eXpensell ino:j.ucle, but: are IHJI: l.im:l.t:ed t:o, filing fee/'l, dOIlt: of mec1ieAl reoorq/'l, oopying 00/'lt:1'l1 fOlK OO/'l,t:s, long d:lSt:<Ill0e t:elephone poSt:s / expert witne/:!I'l fes/:! and,:' Ilhed.ff /!'l' /:!el.'v:l.de 00/'lt:1'l, , , . In the event: t:hei"el :I.A no reooyery, t:he' Client: wilJ. riot: be l.'el3ponsible 1101: Any OCJSl:S or :I.nt,el:est: ahcu:ges, cost:s will be l.'epa:l.cl \;0 SCIIMID'r AND RONCA, I.',C., OUt: of /:\ny fUndS or pl."ppel."t:y ool.1eot:ed eit:her by sett:lemellt: pr jUqgl\\ellti, 4. Cldm/:! for 11led:l.o<llbenefit:1l andinao\ne loss benefit:s are separat:e .it:ems. '.sCHMID'r!\ND RONCA, P,C" Idll help you prooesl'l l:h!;lse olaimEl, A Eleparate agreement w:l.],l have t:obe ent:el.;eq into ear feeS if a 11lajor di~pute ocaurs requiring the filing of auit: for t:hesebenef~tEl., 'I, 1\, " , " ;1 " 'j, " , , , , " Ii , " , ". " , " ,. '. ~ ;' if '" " " " " " " Ii Ii " ',/,' I. .;';1 "" Ii Ij I'. ,. i' " " .'! I' ;, r'j ); ",. i; " ... "fr) ,- !",: "1"/1 /""" -""1 ..', ~'.~ 1":.( ';-:", I I. " ~;!:I , /, "; ;, H ,'\ ,.1' " II) ~-o '~'I .J Ip! :I/.I.} II.. '_I(1.J )'11 ,,'j ~,' ..'/ <;.\1' ':,'J !q ...~ .-,.. r:"j . ~'. I I\~ ~ t?, t.'.. It.. .' ...... (b " n d'l j' p " II " " .' 11 ,. ,