For Referring Attorneys

One lien. One chart. Every specialty your client's case needs.

Your client gets evaluated, cleared, and treated inside a single physician-owned group — so you're not chasing six providers for records, six billing offices for a ledger, and six liens at settlement.

Send a referral See the first 72 hours

Intake response: Same business day
Financial posture: Letter of Protection — no out-of-pocket to your client
Billing structure: One entity, one lien — all specialties, all sites
Coverage: 7 Houston-area clinics, plus telemedicine statewide

The first 72 hours

What happens after you hit send.

The window where a case is won or lost is the one where your client is in pain, uninsured, and deciding whether treatment is worth the trouble. Here is our clock.

T + 0:00 — referral received
Your legal liaison acknowledges, by name.
Referrals route to a dedicated legal-liaison inbox — never the general patient queue. You get a written acknowledgment with the assigned coordinator's direct line, not a ticket number.
T + 4:00 — client contacted
We call your client. Twice, then we text.
Intake in English, Spanish, and Farsi. If we can't reach them by end of day, you get told — same day — so your paralegal isn't finding out three weeks later that nobody ever booked.
T + 24:00 — physician evaluation
MD or DO evaluation, not a technician intake.
History, mechanism of injury, exam, working diagnosis, and an initial causation impression documented at the first visit — because the defense will read that first note more carefully than any note that follows.
T + 48:00 — plan of care to your file
You receive the treatment plan and the projected arc.
Which specialties are engaged, what imaging is ordered, what interventional steps are anticipated, and the realistic timeline to maximum medical improvement. You can value the case early instead of guessing.
T + 72:00 — treatment underway
Chiropractic, pain management, and clearance run in parallel.
Conservative care starts immediately while medical clearance for interventional procedures runs alongside it — so a comorbidity doesn't cost you six weeks of dead time before the first injection.
Ongoing — status visibility
Compliance and no-show alerts, unprompted.
Missed appointments, gaps in care, and non-compliance get reported to your office as they happen. A treatment gap you know about is an argument. A treatment gap you learn about at deposition is a problem.

Medical clearance is in-house, so procedures don't stall.

Most PI treatment networks are chiropractic and injections bolted together. The moment a client is diabetic, anticoagulated, cardiac, asthmatic, or pregnant, the case parks — the pain physician won't proceed without clearance, and nobody in the network can give it.

Internal medicine
Pre-procedure medical clearance
Comorbidity assessment, medication review, anticoagulation management, and written clearance for interventional procedures — from a physician in the same group, on the same chart.
Pulmonology
Respiratory and airway clearance
Board-certified pulmonary evaluation for clients with asthma, COPD, OSA, or inhalation exposure — including sedation risk assessment before procedures.
Why it matters to you
No external referral loop
Clearance happens inside the group, on the same chart, under the same lien. No outside PCP who won't return calls, won't take an LOP, and won't produce records.

Send us the case, not the diagnosis.

You triage by mechanism. So do we. Each of these routes to the right specialty combination on intake without you having to specify.

01
Motor vehicle collisions
Cervical and lumbar strain, disc injury, radiculopathy, concussion screening, shoulder and knee derangement. The core of the program.
02
Truck and 18-wheeler
Higher-energy mechanisms, polytrauma, and the documentation depth a commercial-policy case demands.
03
Motorcycle and pedestrian
Fracture follow-on, soft tissue, road rash and wound care, extremity and gait injury.
04
Slip, trip and fall
Axial spine, hip and knee injury, and the older claimant with degenerative findings that defense will call pre-existing.
05
Fire, smoke and chemical exposure
Board-certified pulmonology for inhalation injury — refinery, plant, apartment fire, and HVAC/chemical release cases.
06
Workplace and construction
Non-subscriber and third-party claims, crush and fall injuries, wound care, and return-to-work documentation.

Your firm has a say in where procedures happen.

Clinical need sets the floor — some clients and some procedures require a hospital or a licensed surgery center, and that is not negotiable. Above that floor, firms differ on where they want procedures performed and how they want the facility side billed. Tell us your preference and we will honor it, confirmed in writing before anything is scheduled.

Setting 01
Partner ambulatory surgery center
Established relationships with licensed ASCs across Greater Houston. Independent, arm's-length facility billing under the facility's own lien, with anesthesia and monitored sedation available.
Setting 02
Hospital outpatient
For medically complex clients, higher-acuity procedures, and firms whose practice is to have facility charges originate from a hospital. Full perioperative and inpatient escalation capability behind it.

How the choice is made: Your preference is captured at referral and reconfirmed in the pre-procedure planning note. If clinical factors rule out your preferred setting, the treating physician documents why and calls your office before scheduling.
Facility billing: At outside settings, the facility bills separately under its own lien and on its own timeline. We tell you which entity will bill before the procedure, not after the demand package is assembled.
Anesthesia: MAC and general anesthesia at ASC and hospital settings.

Records built to be read by an adjuster, then by a jury.

A chart that supports a demand is not the same as a chart that supports a verdict. Ours is written for both, and our physicians will sit for the deposition.

Causation, not just coding
Narrative reports addressing mechanism of injury, causal relationship, aggravation of pre-existing conditions, and reasonableness and necessity of care — in language that holds up on cross.
§18.001 and business-records affidavits
Billing and records affidavits prepared on request in the form your firm uses, with the custodian available for supplementation.
MMI, impairment, and future care
Maximum medical improvement statements, impairment assessment, and physician-supported future medical cost projections when the case warrants one.
One request, every specialty
A single records request covers every specialty and every location, because it is one chart. Rush handling for TDI deadlines and mediation dates.
Deposition and trial availability
Treating physicians available for deposition and trial testimony. CVs and prior testimony history furnished on request.
Assembled, not dumped
Records arrive indexed and paginated with a running bill ledger, so your demand package doesn't need reassembly.

One entity. One ledger. One conversation at reduction.

Everything delivered inside the group settles under a single lien, so there is one number to negotiate rather than six.

Client cost: Nothing out of pocket. Treatment proceeds on a Letter of Protection.
Number of liens: One covering everything delivered inside the group — evaluation, chiropractic, interventional pain, imaging, and in-house procedures, across all locations. Where you elect an ASC or hospital setting, that facility bills under its own separate lien.
Surprises: None. Every entity that will bill on a case is identified to your office before the service happens, whether that is us, a partner facility, or an outside referral.
Reductions: Handled by one named person with authority. No committee, no rotating billing vendor.
Health insurance: Where a client has coverage and it is in their interest to use it, we will say so.

A referral relationship that survives being put on the record.

Defense counsel will try to make our relationship the issue instead of your client's injury. The answers should be boring.

What we do not do

No payment, fee-splitting, or anything of value exchanged for referrals, in either direction.
No solicitation of accident victims and no purchased accident-report lists.
No case-value-driven treatment. Treatment decisions are documented as clinical decisions because that is what they are.
No volume expectations, quotas, or exclusivity asked of your firm.
Physician-owned and physician-directed — not a management company operating under a borrowed medical license.

We will also tell you when a client's presentation does not support the claimed mechanism, or when they are exaggerating. You would rather hear that from us in month one than from an IME physician in month nine.

Named physicians. Verifiable credentials.

You are putting your client's care and your case in someone's hands. You should be able to look them up before you do.

Look up what we treat before you call. Then use it in the demand.

Every page below is written and reviewed by the physicians who do the work — what the injury is, how it is diagnosed, what a procedure indicates about severity, and what a typical course looks like. Your associate can verify capability without picking up the phone, and your demand letter can cite why a procedure was medically necessary instead of just attaching the bill.

Injuries we manage

Every condition we treat

Procedures, explained

Every treatment we perform

Clinics across Greater Houston, plus telemedicine statewide.

Distance is the most common reason a client stops treating. Where your client lives should decide where they're seen.

Intake and exam-room staff speak English, Spanish, and Farsi — not a phone interpreter line. Telemedicine covers follow-up, medication management, and clients who relocate mid-case.

What firms ask us before the first referral.

These answers are also what our structured data reports, so a search engine and a reader see the same thing.

How fast can you see my client?

Same-business-day contact, evaluation within 24 hours in most cases. If we can't meet that at your client's preferred location, we tell you at intake and offer an alternative site or a telemedicine start.

Do you treat on a Letter of Protection?

Yes. Your client pays nothing out of pocket, and our bill is satisfied out of the recovery rather than billed to them during treatment.

Can procedures be done at a surgery center or hospital?

Yes. We work in all three settings — office-based lab, ambulatory surgery center, and hospital outpatient — and will follow your firm's preference wherever it is clinically appropriate. Tell us at referral, or set a standing preference for all your cases and we'll apply it by default.

Will I get a separate bill from a facility?

Only where you've elected an outside setting, or where a case needs something we don't provide. Either way you know which entity is billing before the service happens, not after the demand package is assembled.

Can you clear a medically complex client for injections?

Yes — internal medicine and pulmonology are inside the group, so diabetes, hypertension, anticoagulation, asthma and OSA are cleared here. Clearance runs in parallel with conservative care rather than after it.

Will your physicians testify?

Yes. Treating physicians are available for deposition and trial. CVs and prior testimony history on request.

What if my client stops showing up?

Your office is notified as it happens, not at records request. We document the gap accurately either way — a treatment gap you know about is an argument, and one you learn about at deposition is a problem.

Will you tell me if the case isn't what my client says it is?

Yes. Our reputation only works if our documentation is credible, and credible means we don't stretch. You'll hear it from us in month one rather than from an IME physician in month nine.

Refer a client

Send us the firm, the client, and the mechanism of injury. We take it from there — with an acknowledgment the same business day and a named coordinator on the file.

Call (713) 597-5131

Phone: (713) 597-5131 — every office, one line
Referral fax: (713) 597-5132 — include a cover sheet
What to send: Firm and your direct line, client name and phone, and the mechanism of injury — motor vehicle, truck or commercial vehicle, motorcycle or pedestrian, slip and fall, fire or chemical exposure, or workplace and construction. Anything else you think we should know.

Injured in an accident and looking for care yourself? Go to the patient page.

Pre-procedure medical clearance

Respiratory and airway clearance

No external referral loop

Motor vehicle collisions

Truck and 18-wheeler

Motorcycle and pedestrian

Slip, trip and fall

Fire, smoke and chemical exposure

Workplace and construction

Partner ambulatory surgery center

Hospital outpatient

Causation, not just coding

§18.001 and business-records affidavits

MMI, impairment, and future care

One request, every specialty

Deposition and trial availability

Assembled, not dumped

What we do not do

Injuries we manage

Spine and disc

Head and neck

Joints and soft tissue

Pain syndromes and respiratory

Procedures, explained

Evaluation and conservative care

Diagnostic and image-guided blocks

Ablation and joint procedures

Advanced interventional