Independent Personal Injury Impairment Rating

If the client didn’t recover to pre-injury status, you must prove it


  • If you don’t provide an impairment rating, the payor’s software will assume there is no permanence and settle accordingly.

  • The impairment rating is the second largest value driver in a personal injury case.

  • We are independent. We are not the treating doctors and we didn’t participate in the course of treatment.

  • Dispute previously rendered impairment ratings.

  • Pre-litigation: The payor’s software assumes no permanence unless you provide the rating.

  • Litigation: You must prove there has been an impairment and  a future impairment.

  • We will testify in deposition or live trial testimony, as an EXPERT witness, for an additional fee.

  • We reference the AMA Guides to Permanent Impairment, 6th This is the latest edition and Dr. Bramblett was trained and certified by the guide’s senior contributing editor.

  • We use state of the art, digital, wireless, and calibrated equipment during our in-person, one-on-one evaluations.


$1,250 if performed in San Antonio, TX.

$1,750 if performed outside of San Antonio, TX.

$2,750 expedited rate: To have the client evaluated before the next scheduled visit to that geographical area.

We accept pre-payment, or your letter of protection. We do NOT reduce. We are an expert opinion, not a treating provider.