Preparation of the narrative medical report.

Abstract

Craniomandibular disorders of traumatic etiology require special documentation techniques to minimize insurance and legal correspondence and to aid in equitable and expeditious claim settlement. The properly documented Narrative Medical Report can effectively meet these requirements while also protecting the integrity of the often scrutinized craniomandibular practice.The article presents an easy to follow outline for the preparation of these comprehensive reports, as well as indicating their specific relevancy in this medico-dental field of treatment. Essential clinical information to be abstracted from patient records is specified and its importance explained. Insurance applications, including Worker's Compensation, Social Security Disability, and Motor Vehicle Casualty/No-Fault Insurance are presented, as are legal applications in civil litigation.The format described will provide a comprehensive, documented record of the patient's condition and the practitioner's treatment protocol, supplying both ins...