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.. ROTHSVILLE MEDICAL CENTER
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1810 RothlVlIle Road
LillI<, "'nneylvonto 17M3
(7171 627.12l~
DENVER MEDICAL CEN'rER
316 North Flnh St,..t
Denver. Penn.ylvanla 17517
(7171335,3311
Carlton W, BUlko, M,O,
Thom.. J, Welda, M,O,
Michael L, Cowan, M,O.
Steven C, Bade, M.O,
Oarbor. Crou.e Moore, M,S.
Janie W. Stone, PA.C
Dennis I.. l..eedl PA.C
August 25, 1994
RE: Tyler Adkins
Diagnosis: Post-Traumatic Stress Disorder, Acute 380.30
The following is a summary of my clinical notes
regarding the visits which Tyler Adkins and his mother had
with me. Tyler Adkins is an 11-year-old white male. He was
first seen by me on August 19, 1993. This referral was made
due to his reactions to a motor vehicle accident. Tyler
told me that he was lying in the rear seat of his family's
car. Apparently, a tractor trailer struck several cars
behind his, throwing one car into the air which fell on top
of Tyler' B family' scar partially cruShing the roof. The
accident occurred on July 23, 1993 on Route 283 in a
construction zone.
Following this accident Tyler was found to be fearful
of riding in any motorized vehicle, very fearful of having
trucks in close proximity to the vehicle in which he was
riding, and he absolutely refused to go on the highway where
the accident occurred. These fearful reactions hampered
normal functioning, Tyler's parents were in the process of
moving which necessitated frequent trips over the highway
where the accident occurred.
In the beginning of our work, it was not possible for
him to travel this route. As a matter of fact, it only
became possible for him to travel the route when the
construction was completed, For local every day errands,
Tyler'S mother found alternative routes that would eliminate
the possibility of encountering many tractor trailer trucks.
Furthermore, when school began Tyler was afraid to ride the
school bus. His mother drove him to school and piCked him
up after school. Tyler did not seem to have any other
reaction to the accident other than these fears, almost as
if he were blocking the incident out of his mind, and only
in drawings of the accident could one begin to get a glimpse
of the fear and the terror that this child must have
experienced.
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Milton Herb_.ey Medical, Cent~r EIIlergenc~
500 University Avenue, Hershey, PA 17033
Aftercare Instructions
Department
(717)531-8333
for TYLER ADKINS, Friday, July 23, 1993, 7:05 pm
(11582581)
~ w. e.amined and treated your ch~ld today on an
emergency b.,i. only. Thl' WI. not a lub.titute tor, or an
effort to provide, co~pl.t. medical care. In molt c..... you
mult let your doctor check your child Iglln. R.port to your
doctor any ne" Dr l..tlng probl.m.. W. cannot r.cogolao and
tr.at 411 Injurl.. or l11n..... 1n one Emergency Department
vl.Lt. If your child had X.ray.. w, will revi.w them within
. day. MI will call )-OU it there au new IU99..t10n.. After
you leave the he.piUl, FOLLOW THE WS11lUcrtONS nEL,Ow.
The attending PhYllclan lupervl.1ng your clrt today wa. Dr.
IurIthu1: ,
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lWCOND CARE (with StJtch._I.
Kllp your child'. drl..lng clean and dry for 2 dAya.
Atter that. change the dr...ing daily. Wa.h the wound
gently. Help your child to elev.te the wound. Th.t ~ill
help .... .oren... .nd .peed ha.ling.
Evan with great care, .ny wound can become infected. The
.ign. of infection Irel incre..ing r.dne.., .welling, p.in,
pUI from the wound, red .treaks, or unexplained feVer. If
your child ha. any .ign. of infection, CALL YOUR OO~R
RIGHT AWAY.
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Your child ha.
Wi.
.titch... Th.y .hould be removed 1n 1S
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;; U ItEDHESS,SEVERE PAIN OR FEVER, RETORN BEFORE MeNnAY'.
( ,RETORH stmUAY AT 7 P,M. FOR CHECl UP.
IF HEHTAL STATUS CHANGES RtTURN.
ACETAMINOPHEN DOstNG (Tylenol, P.nadol, Tempra, ttc.l.
u.. the table below to find your child'. Tylenol dOli.
rind your child', age or weight on the left, U.e the dOl. on
the ..me line thlt mAtch,. the type ot Tylenol thlt you wl11
give.
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YOU ARE THE MOST IMPCRTAm' FACTOR IN YOUR CHILD' 5 RECOVlRY'.
Follow the In.tructionl caretully. Give medic!na. ..
pr..cribed. Seek further medical treatment or a..min.tlon .1
dllcu..ed. If your child haa problem. that we did not lhe,
CALL YOUR OOcroR right aw,y. If you can't reach your doctor,
come back to the Emergency Department. U ynur have
que.tionl, call u..
written .bove. .nd ..
H,D. or R.N'.
SEATBELTS AND CARSEATS,
There i. no doubt that ..atbett. .nd car...t. ..ve live..
Here in the Emergency Room w. ae. .v.ry day how un.eatb.lted
people are hurt much more I.verely. We alway. buckle-up I
ple..e do the ..m.l
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CONTINGENT rBE AGREEMENT
THIS AGREEMENT entered into the ~~ay of
,G/ //Qf'~ I~r: ,
.
1993, by and between SCHMIDT AND RONCA, P.C., and JAKEs AND
JOANNE~INS, Individually and as Parents and Natural Guardians
ot (':li.er \J. ;-J.i (~,\n). , a minor, of 3554 Ur.en
Street, JJ.p Hill, Pennsylvania 17011, hereinafter referred to as
"Client."
WITNESSETH:
The law firm of SCHMIDT AND RONCA, P.C., for the
consideration hereinafter stipulated, has undertaken and does
hereby undertake and agrees with Client to act as Client's
attorney in negotiating for a settlement, and if the same is not
effected, in bringing, con~ucting~nd prosecuting an action
1< .1 ll'\'je/'I ('"'tMf....'.i'-(\.:.,
against .1:l\ .." - . . T~l .. arising out of a certain
I ~ l
accident which occurred _~n or about I '\ I L\ l/ ,:2 '?, (79 '5
I,~€I' .r"'H.t:- (1~,/}j, C," , /-0.... , andVin addition, to
/ f .
, in
process, negotiate, litigate and/or arbitrate all claims for
first party benefits and under insured or uninsured motorist
benefits to which the Client is entitled to under his insurance
policy with the Pennsylvania Motor Vehicle Financial
Responsibility Law.
In consideration of SCHMIDT AND RONCA, P.C.'s promise to
faithfully represent Client in connection with all rights,
actions and claims which Client now has or Which may arise in the
future as a result of the above, Client agrees as follows:
..
1. To supply promptly, truthfully and completely all
information, data and material requested by SCHMIDT AND RONCA,
P.C., as necessary or useful for the furtherance of these claims;
2. To pay, in addition to attorney's fees, all costs and
expenses incidental to any litigation or negotiations of
settlement undertaken on our behalf, such costs and expenses to
be advanced by SCHMIDT AND RONCA, P.C. All such out-of-pocket
expenses will be advanced by SCHMIDT AND RONCA, P.C. as they are
incurred. Such expenses include, but are not limited to, filing
fees, expense of obtaining medical records, copying costs, fax
costs, WESTLAW costs, long distance telephone costs, expert
witness fees and sheriff's service costs. Costs will be advanced
on behalf of the Client by SCHMIDT AND RONCA, P.C., on a line of
credit, at the lowest available commercial interest rate. Costs
will be repaid to SCHMIDT AND RONCA, P.C., out of any funds or
property collected either by settlement or judgment, and will
include a pro rata assessment of interest charges on the amount
advanced on Client's behalf. In the event there is no recovery,
the Client will not be responsible for any costs or interest
charges.
3. (a) In any tort action brought on Client's behalf, to
pay, in addition to the foregoing costs and expenses, to SCHMIDT
AND RONCA, P.c., for its services an amount equal to 33 1/3\ of
all funds or property accruing to Client as a result of their
services in securing a settlement of these claims prior to trial;
and an amount equal to 40% if such funds or property are secured
during trial or as a result a verdict or judgment. In any matter
..
submitted to arbitration, litigation is commenced when the
arbitrators are appointed or when a petition to appoint
arbitrators is filed, whichever first occurs. In any matter
submitted to arbitration, "after the beginning of trial" means
the first day the arbitrators have convened to hear testimony.
It being further agreed and understood that trial begins after
the selection of the jury in federal court, final call of the
trial list in state court, or in non-jury trials, at the opening
statement.
(b) To pay to SCHMIDT AND RONCA, P.C., a fee in the
appropriate amount as set forth in the preceding subparagraph in
the event I should refuse an offer of settlement of our claim or
claims, whether before or after the commencement of litigation,
which settlement is recommended to me by SCHMIDT AND RONCA, P.C.,
in writing.
(c) It is further understood that the counsel fee payable as
provided in this paragraph does not include services in any
appeal after trial, and if an appeal should occur, the charge for
such appeal shall be such as is mutually agreed upon between us
and our attorneys.
(d) I agree not to settle or adjust the above claim or any
proceedings based thereon without first consultlng my attorneys
and obtaining their written consent.
(e) I agree to fully cooperate with my said attorneys in the
prosecution of the claim that comprises the subject matter of
this Agreement. This includes but is not limited to making
myself available for legal proceedings, for consultations with my
..
said attorneys, and keeping my said attorneys informed as to my
current mailing address and phone number.
(f) I warrant that the information which I have supplied,
and will supply during the course of these legal proceedings, is
true and accurate, and has not been obtained through fraud or
illegal activities.
4. (a) Separate and apart from the costs, fees, and
expenses set forth above, and in addition thereto, it is agreed
that in all situations where the Motor Vehicle Financial
Responsibility Law provides for payment of first-party benefits,
SCHMIDT AND RONCA, P.C. shall be entitled to claim and recover
reasonable counsel fees from said insurance company based on the
Financial Responsibility LaW, and based on the actual time
expended in processing, protecting, negotiating and/or litigating
the Client's claim for First party Benefits or representing his
interest in matters related thereto;
(b) It is further agreed that to the extent allowed by the
Motor Vehicle Financial Responsibility Law, SCHMIDT AND RONCA,
P.C., may charge such reasonable fees to the Client in regard to
Client's claim for first-party benefits in any situation where
attorneys' fees are not payable by an insurance company as
specified in the preceding subparagraph.
5. Client authorizes said attorneys to payout of Client's
share of any proceeds of settlement or trial any unpaid balances
for treatment or services made necessary by the injuries
sustained in the accident in question.
..
. '
PARENTS.GUARDIAN RELEASE AND INDEMNITY AGREEMENT
FOR AND IN CONSIDERA liON of the peyment to me/us of the ,um
of.f.Q.ll!' Thollsand Five Hundred Dollars and no/100-----------------o0Ile" 1$!.L.500.oq
the receipt of which Is hereby acknowledged, I/wo, the unde"iqned, felher end mother end/or guerdien of Tvler Adkins.
a Hlnor
o minor, do forover ,olee,o, ecquit, dischergo ond covenont te hold hormloss Randa II L. Ke 11 y. He ve r s Trans-
_port, and Zurich Insurance Company ,
heirs, succo"ors end e"igns of end from eny ond oil eclions, ceu'Os of ection, c1eims, demends, demeges, costs, loss of sorvico',
upenses and componsetion, on eccount of, or in eny wey growing out of, ony end ell known ond unknown po"onol injuries ond
property demege which mey now or horeeftor heve e, tho peronls end/or guerdien of seid minor, ond olso oil c1eims or righh
01 ection lor demeges which the soid minor hes or moy horeofter heve, oither before or efter - he hos reeched his/hor mejority,
resulting or to result from e certein eccident which occurred on or ebout the 23 rd deyof Ju 1 V , 19-..2..~
ot or "eor
Rout~ f/293. Loucr Pc.r...tcn Tn':r.~hi... Dn1.1phin Countvr
Pr.nnG"l'Jnn i:1
.
I/we further promi,e to bind myself/ourselves jointly end severolly, my/our heirs, edministretors end e,ecutors to repey
to the seid Randall L. Kell He ers Trans ort and Zurich Insurance Com an
heirs, successors ond ossi'lns ony lum of money, e"opt tho sum obove mentioned thot he/she/they moy hereofter bo com,
pelled to pey on behelf of ,eid minor becous~ of the ,eid occidont.
It is lurther understood ond ogreed thet this settloment is the compromise of 0 doubtful ond disputed c1oim, ond thet this
peyment is not to be construed 0' on odmission of liobility on the port of Randall L. Kellv. Mevers Trans-
port , and Zurich Insurance Com~ by whom Iiobility Is e,pressly denied,
I/we further stote thot I/wo hove cor":o'll ,.0': ~"., iareaoing role..e end know tho contents thereof ond I/wo sign the
some es my/our own free oct.
WITNESS
In presence of
hond ond seel this
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CAUTION, READ BEFORE SIGNING
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JAMES R. ADKINS and JOANNE
J. ADKINS, Parents and
Natural Guardians of TYLER
J. ADKINS, a Minor
Plainti ffs
IN THE COURT OF COMM?N PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-2089 civil Term
v.
: CIVIL ACTION - LAW
MYERS TRANSPORT COMPANY,
Defendant
JURY TRIAL DEMANDED
CERTIFICATE or SERVICE
AND NOW this :XO!J, day of April
, 1995, I, charles E.
Schmidt, Jr., Esquire, hereby certify that I have this day served
Plaintiffs' Petition for Approval of compromise Settlement and
Distribution of Proceeds for a Minor, along with a copy of Judge
Bayley'S signed Order dated April 26, 1995, by depositing a copy
of the same in the United States Mail, postage prepaid, at
Harrisburg, Pennsylvania, addressed to:
Ms. Judy Pennepacker
Toensmeier Adjustment Services
P.O. Box 1051
Harrisburg, PA 17108
"
By:
P.C.
,
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Charles E. Sch t, Jr.
Attorney at La
209 State Street
Harrisburg, PA 17101
Attorney 1.0. #19198
(717) 232-6300
Attorney for the plaintiff
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JAMES R. ADKINS and JOANNE
J. ADKINS, Parents and
Natural Guardians of TYLER
J. ADKINS, a Minor
Plaintiffs
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-2089 civil Term
v.
CIVIL ACTION - LAW
MYERS TRANSPORT COMPANY,
Defendant
JURY TRIAL DEMANDED
ORDER
AND I/O., this ,b day of ~lM\AJ&U-\ , 1996,
\
it is hereby ORDERED and DECRnD that the Court's Order of April
26, 1995, is hereby amended by substituting Fulton Bank as
custodian for the sequestered funds of Petitioners' minor.
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BY THE COURT: ,'/ ,:
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