IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA
GENERAL JURISDICTION DIVISION
CASE NO. XX
FLORIDA BAR NO. XX
MARY GARCIA,
Plaintiff,
v.
SMITH, INC.,
Defendant.
/
REQUEST FOR INDEPENDENT MEDICAL EXAMINATION
The Defendant, SMITH, INC., pursuant to Florida Rules of Civil Procedure 1.360(a)(1)(A), hereby requests the Plaintiff, MARY GARCIA, to submit to an independent medical examination by a qualified Orthopedic Surgeon on XX, 20__ @ XX., at the office of the below-named physician:
Dr. XX
I certify that a copy hereof has been furnished to ALAN D. SACKRIN, ESQ.,
Attorneys for Plaintiff, Law Offices of Alan D. Sackrin, 2100 E. Hallandale Beach Blvd., Suite 200, Hallandale, Florida 33009, by mail on ,__.
XX
Attorneys for Defendant
By:
XX, Esquire
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