West Palm car accident Stipulation Regarding Medical Bills

West Palm car accident Stipulation Regarding Medical Bills
In the __________ Court of ___________ County, ____________

)
_______________, West Palm Beach Car accident Plainitff )
)
vs. ) Case No. __________
)
_______________, Defendant )
STIPULATION REGARDING MEDICAL EXPENSES
Come now the parties, by and through their respective attorneys of record, and for the sole purpose of the trial of this action, and for no other purpose, hereby stipulate and agree as follows:
1. The medical services reflected in the attached medical expenses, totaling $____________, were reasonably necessary for the diagnosis, care, or treatment of West Palm Beach Car accident Plainitff ________________’s medical condition(s) of ______________________________________.
2. The services reflected in the attached medical expenses were reasonably necessary for the diagnosis, care, or treatment of injuries sustained by West Palm Beach Car accident Plainitff ___________________ in the ____________________ accident [incident] that is the subject of this lawsuit.
3. The charges for the medical services reflected by the attached medical expenses were and are fair and reasonable for the services provided.
4. The attached medical expense statements are true, accurate, and complete copies of the genuine originals.

Dated: _____________________
_________________________
Attorney for West Palm Beach Car accident Plainitff

Dated: _____________________

_________________________
Attorney for Defendant