Initial consult notes
A physician's assessment of the injury, the presentation, the working diagnosis, and the staged plan, documented from the first visit.
Attorney partnerships
A medical partner that strengthens your case file.
Your client’s pain is managed by one physician, against a treatment algorithm published in full — including the parts that say what we will not do, and why.
01Why Sharper Medicine
One physician on the file, from intake to discharge.
- Board-eligible emergency physician. Your client is seen and managed by a DO with emergency-medicine training — not a midlevel provider.
- Fast turnaround. Most consults are completed within 24 hours of referral.
- Clear documentation. Source-attributed findings, serial functional scores, and imaging correlation stated carefully rather than overstated.
- Scope stated plainly. We manage the medicine and decide the escalations. We perform no procedures and hold no controlled-substance agreements. No out-of-pocket cost to your client under a letter of protection.
02What you get
Documentation built for the case file.
Everything is produced in the formats a settlement packet needs, and written so that nothing in it has to be walked back.
Treatment plan
A time-stamped plan with named agents, doses, durations, and a written reassessment date, including medications prescribed and clinical rationale.
Prescription records
An accurate record of what was prescribed, when, and why — sent electronically to the patient's pharmacy.
Follow-up notes
Documentation of how the patient responds over the course of care, with a validated functional score recorded at every visit, with changes to the plan noted.
Coordination notes
Where applicable, documentation of coordination with chiropractic, physical therapy, and specialist providers.
Discovery-appropriate
Records maintained to HIPAA standards and prepared with the understanding they may be discoverable.
03The LOP process
How a letter-of-protection engagement works.
- 01
Referral
Your office refers the patient with the relevant intake information and the letter of protection.
- 02
Consult
Dr. Shanar reviews the imaging and the referring chiropractor’s examination, screens for red flags, and establishes a staged plan — typically within 24 hours.
- 03
Ongoing care
The patient receives follow-up as clinically indicated, with documentation maintained throughout.
- 04
Settlement payout
Charges are resolved at settlement under the terms of the letter of protection.
Our fees are set at a fixed multiple of the Texas DWC Medical Fee Guideline for the corresponding CPT code, and the same schedule applies to every patient of the practice. There is no separate letter-of-protection rate, and charges are not contingent on the outcome or size of any claim. The basis and the current schedule are published in full.
04What we look for
Who this works for.
- Established personal injury firms with a steady referral pipeline.
- Firms that would rather a treating physician’s record survive scrutiny than read well.
- Volume that allows for genuine continuity of care, patient to patient.
05Partnership inquiry
Start a conversation.
Tell us about your practice. We review every inquiry and respond, typically within one business day.
Please do not include detailed patient medical information in this form. We will contact you to discuss specifics through a secure channel.
Inquiry received.
Thank you. We review every partnership inquiry and will be in touch, typically within one business day, to discuss next steps through a secure channel.