<p style="font-size: 13px; padding-top:15px;">Once we have received the following, we can start the file review:</p>

<ul style="padding-bottom:20px;">
 	<li style="font-size: 13px;">Intake form (can be mailed, emailed, or submitted online - see <a href="http://manleyandassociates.velinajewelry.com/make-a-referral/">Referral</a> page)</li>
 	<li style="font-size: 13px;">Initial treatment report and first report of injury</li>
 	<li style="font-size: 13px;">Operative notes from procedures conducted prior to the last three years</li>
 	<li style="font-size: 13px;">Last three years medical records: We do not need physical therapy notes, lab reports, or nurse progress notes from hospitalizations. We do need physician office visit notes, operative notes, hospitalization discharge summaries.</li>
 	<li style="font-size: 13px;">Last two years pharmacy summary: This printout should include drug names, dosages, quantities, and fill dates.</li>
 	<li style="font-size: 13px;">Last two years claims payment history: This should include both indemnity and medical payments. (If the referral is for a liability claim, we do not expect to receive a payment history.)</li>
</ul>