Document 15KJL249kNgJL9RNYkqkJorwK

J. w. BEALL. CHAIRMAN WILL r. BLAKE .( CLARENCE H. KNISl \u A. D. CADDELL, SECRETARY Th e In d u s t r ia l c o mmis s io n o f Oh io MEDICAL SECTION COLUMBUS DR. SIDNEY MCCURDY, Su p e r v is o r or MEDICAL SECTION Dr. R. A. Kehoe University of Cincinnati College of Medicine Cincinnati, Ohio 3-15-40 Claim No. ...QD..12352.-------------- ---NAME. ADDRESS...... 4U-.lAUT.al.-5t,. .T.r.a.n.ai.e5t..3ureau.. Dear Doctor:-- Cincinnati, Ohio We are referring the above claimant to you for..e.?&J!1.i.na..t.i.9Ji.^;...d.iagnosis to..det..nriine.the..degree..pf..disabilitx.now .2resentJL..if..anyx..dua.i.P...flac.up.atio.nal diasaaa..and..ady.ig...s5...t.Q..tr.eafe5sn^*...... ........................................................ -................ You may notify the claimant at the address .given above when to appear at your office for this purpose. We are enclosing, he r ew ith...ent ire ..fils ._for. review................................................ which will give you a history of the case, as shown by our files. Kindly send your report in TRIPLICATE, together with your fee bill, direct to the Medical Section, as soon as possible. The extra form enclosed is for your files. In preparing your report, please use the following subheadings in the order given (1.) HISTORY--of injury and treatment, past medical history, pre vious injuries, family history (if applicable). (2.) PATIENTS COMPLAINTS--describe in detail even if they have no apparent connection with the injury. (3.) EXAMINATION--include all objective findings, clinical, lab oratory and X-ray. (4.) DISCUSSION---summary and treatment indicated. (5.) OPINION--extent of disability (total or partial). If total how soon will'he be able to work. If partial, estimate degree on percentage basis if possible. Use the Form (C-lll) enclosed and continue your report on the reverse if necessary. SMH :mpr Very truly yours, DR. SIDNEY MeCURDY, Supervisor of Medical Section. MED. II--5M--5-39. ggg- IN REPLYING, ALWAYS GIVE CLAIM NUMBER. NOTIFY THE CHIEF IF YOUR INQUIRIES ARE NOT ANSWERED WITHIN TEN DAYS. 016538