Quick Answer
An independent medical examination produces an opinion on questions posed by an instructing party and creates no treatment relationship. Whether this practice undertakes such work must be confirmed directly; this page does not assert it. Clinical assessment of post-traumatic symptoms is available at both offices.
Part ofThis guide sits beneath neurology after injury, which covers the study itself, how it is performed and what the report should contain.
our injury and med-legal service line →Key Takeaways
- An independent medical examination is not treatment and creates no treatment relationship.
- Treating and examining roles carry different duties and are kept separate.
- A causation opinion rests on the documented record rather than on a request.
- Whether the practice undertakes this work must be confirmed directly; this page does not assert it.
- A graded accredited study reporting actual measurements is stronger evidence than a conclusion.
Independent medical examination
An independent medical examination is an objective, documented neurological assessment requested for a legal or insurance matter rather than for treatment. Its purpose is to record findings accurately, not to advocate for either side.
Where clinical care ends and medico-legal work begins
These are genuinely different activities, and conflating them serves nobody. Understanding the distinction is useful whether you are a patient, an attorney, or an insurer.
Treating clinician against examining expert
A treating clinician has a duty to the patient: to diagnose, to treat, and to document what they find. An independent examining expert has a duty to the process: to examine, to review the record, and to give an opinion, without a treatment relationship. Those roles carry different obligations and are properly kept separate, because a clinician who is both is exposed to a conflict that undermines the value of either function.
What an independent examination is, and is not
An independent medical examination is not treatment. No treatment relationship is created, nothing is prescribed, and the examinee is not a patient of the examiner. The output is a report addressing specific questions posed by the instructing party. Examinees frequently arrive expecting advice about their symptoms and are surprised to receive none, so being told in advance matters.
What a causation opinion actually rests on
Not on the patient’s account of what happened, and not on a request. It rests on the documented record: the mechanism of injury, what was recorded contemporaneously, the timing of symptom onset relative to the event, whether the pattern is consistent with the mechanism, what pre-existing conditions the record shows, and whether findings are supported by examination and testing rather than by report alone. A clinician who produces the opinion a party wants is worthless to that party in the long run, because an opinion that does not survive scrutiny helps nobody.
What makes documentation useful in this context
Contemporaneous records rather than reconstructed ones. Actual measurements rather than conclusions, since a graded nerve study can be compared against a later one while a statement that a study was abnormal cannot. Dated symptom records showing frequency and functional impact. Records of what was tried and its effect. And explicit acknowledgement of what is not known, which strengthens a report rather than weakening it.
| Also considered | How it is distinguished |
|---|---|
| Treating-physician care | Directed at the patient's treatment; a medico-legal examination is directed at documentation. |
| Imaging report | Describes structure; a neurological examination documents function and correlates the two. |
| Disability determination | An administrative decision made by others using clinical documentation as input. |
| Chiropractic or therapy notes | Record treatment response rather than neurological diagnosis and causation analysis. |
What must be confirmed with the practice directly
01
What brings people in
An attorney or carrier requesting objective neurological documentation after an injury, or an injured adult needing evaluation.
02
What the evaluation settles
Which neurological findings are objectively present, whether electrodiagnostic testing supports them, and how findings relate to the reported mechanism.
03
What you leave with
A structured report suitable for the record, supported by in-office testing where indicated, with clinical care and medico-legal work kept clearly separate.
This page does not assert availability
Whether Clinical Neurology Specialists undertakes independent medical examinations, expert witness work, attorney-instructed evaluations, workers’ compensation assessments, or treatment on a letter of protection or lien basis is not stated on this page and should be confirmed with the practice directly. Those are business and professional arrangements rather than clinical capabilities, they vary between clinicians within a practice, and they change. A page asserting them without confirmation would be misleading to an attorney relying on it.
What is documented, and is clinical
The practice provides adult outpatient neurological assessment and treatment at two offices, including assessment of persistent post-traumatic symptoms. All six diagnostic studies are performed and interpreted in-house at both offices, in electrodiagnostic laboratories holding AANEM accreditation independently, which matters in this context because a graded, accredited study with the actual measurements is more useful evidence than a conclusion without them.
How to enquire
For an attorney or adjuster: call and state what you are seeking, the deadline, and whether a treating or independent role is intended. For a patient: describe your symptoms and let the clinical need drive the appointment, since clinical assessment is available regardless of any legal matter.
What the practice does not provide
No surgery, no interventional pain programme, no imaging suite, no emergency or inpatient care, no rehabilitation therapies on site, and no paediatric service. Adults 18 and older.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Henderson
The Henderson office is at 1691 W. Horizon Ridge Parkway, Suite 100, just off the 215 Beltway, with parking on site. All six in-office studies are performed and interpreted there, so nothing is sent across to Las Vegas. Green Valley, Anthem, Whitney and Boulder City are generally closer to it than to Flamingo Road. Adults 18 and older.
Enquiring about scope?
Call and state what you are seeking and the deadline. Scope is confirmed directly rather than from a page.
The Bottom Line
Confirm scope directly rather than relying on any page. What is certain is that a graded accredited study with the measurements is better evidence than a conclusion.
Frequently Asked Questions
Does the practice perform independent medical examinations?
That is not stated on this page and should be confirmed with the practice directly. Independent examinations, expert witness work and lien-based arrangements are professional and business arrangements rather than clinical capabilities, they vary between clinicians, and they change. Asking the front desk before booking avoids arranging an appointment for something that is not offered.
What is an independent medical examination?
An examination and record review producing an opinion on specific questions posed by an instructing party. It is not treatment: no treatment relationship is created, nothing is prescribed, and the examinee is not a patient of the examiner. That distinction is explained to the examinee at the outset rather than assumed.
What does a causation opinion rest on?
The documented record rather than a request: the mechanism of injury, what was recorded contemporaneously, symptom timing relative to the event, whether the pattern fits the mechanism, pre-existing conditions in the record, and whether findings are supported by examination and testing. An opinion that rests on the record can be tested against it, which is what makes it useful.
Why keep treating and examining roles separate?
Because they carry different duties. A treating clinician owes a duty to the patient; an examining expert owes a duty to the process. A clinician who is both is exposed to a conflict that undermines the value of either function. Keeping them separate protects the patient as much as it protects the process.
What makes medical documentation useful in a legal context?
Contemporaneous records rather than reconstructed ones, actual measurements rather than conclusions, dated symptom records showing frequency and functional impact, and explicit acknowledgement of what is not known. Records that state uncertainty plainly are more credible than records that overreach, and they hold up considerably better under later scrutiny by either side.
Can I be treated here while a claim is ongoing?
Clinical assessment and treatment are available on the basis of clinical need. Whether any particular billing arrangement such as a letter of protection or lien is accepted must be confirmed with the practice directly. That is a business arrangement rather than a clinical question, which is why the front desk answers it.
Why does an accredited graded study matter here?
Because a graded study reporting actual measurements can be compared against a later one, which is what demonstrates change over time. A report stating a conclusion without the measurements cannot be compared and is weaker evidence. Both laboratories hold AANEM accreditation independently, which is part of what makes the measurements defensible.
Where exactly is the Henderson office?
1691 W. Horizon Ridge Parkway, Suite 100, Henderson NV 89012, just off the 215 Beltway, with parking on site. All six in-office studies are performed and interpreted there, so nothing is referred across to the Las Vegas office. Green Valley, Anthem, Whitney and Boulder City are generally closer to it than to West Flamingo Road.
Should I use the Henderson or the Las Vegas office?
Whichever is the shorter drive, since both are fully equipped and hold the same records. West Horizon Ridge Parkway generally suits Green Valley, Anthem and Boulder City; West Flamingo Road suits the west and southwest of the valley. If you can attend either, say so when booking, because availability differs between the two week to week.
Does having a claim change the clinical assessment?
No. The examination and the testing are the same, and findings are recorded as they are, including what is not established. Whether any particular billing arrangement is accepted is a separate business question for the front desk. Clinical care and medico-legal work are kept deliberately distinct because they carry different duties.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: two adult outpatient offices, all six diagnostic studies performed and interpreted in-house, electrodiagnostic laboratories holding AANEM accreditation independently, and no emergency, inpatient, surgical, imaging or rehabilitation service on site. Clinical context is sourced to the organisations listed below.
WHETHER THE PRACTICE UNDERTAKES INDEPENDENT MEDICAL EXAMINATIONS, EXPERT WITNESS WORK, ATTORNEY-INSTRUCTED EVALUATIONS, WORKERS’ COMPENSATION ASSESSMENTS OR LIEN-BASED BILLING IS NOT ASSERTED ANYWHERE ON THIS PAGE, because none of it is documented in the supplied source files. Nothing here constitutes legal advice and the practice is not a law firm. No causation opinion, prognosis, impairment rating or case outcome is offered or implied. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Neurologist letter of protection Henderson.” Reviewed 2026-07-28. https://www.cnsnevada.com/personal-injury/neurologist-letter-of-protection-henderson/
References
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
- American Headache Society — classification guidance for headache disorders including post-traumatic headache.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.