Veronica Taylor

 
 Page: 1 of 1 
 1201 Summit Avenue, Suite 500 
 Fort Worth, Texas 76102 
 www.valiantlifemedical.com 
 VALIANTLIFE 
 (817) 926-0012 
 MEDICAL 
 Veronica Taylor 
 Patient ID: 675301349 
 DOB: 1992-24-04 
 Sex: F 
 Account No.: 22-0003-MVA 
 Encounter ID: 88338237273 
 Encounter Date: 2022-01-03 
 Encounter Type: Office Visit 
 SUBJECTIVE: 
 Chief Complaint: 
 The patient, a 60-year-old female, was injured in a slip and fall on 07/03/21. This patient was initially evaluated 
 and x-rayed at local urgent care. The patient was also evaluated by her PCP, received some physical therapy, and 
 went to a local chiropractor for treatment. The patient states that her pain has continued without significant 
 relief since the fall. No other medical is reported for this injury.
 Based on the patient's description of the mechanism of injury and the subsequent clinical findings demonstrated 
 upon physical examination, there is sufficient correlation to substantiate that the above-detailed unresolved 
 injury is a direct result of the fall as described by the patient. Should the patient fail to respond as anticipated or 
 should complications develop, additional diagnostic testing and/or physician referral may be necessary. 
 76281-9 
 Valiant Life Medical - 00058
