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TORT

✓ Extracted

Language

🌐 Spanish

Claimant & Appointment

Claimant Name

Appointment Date

Appointment Time

Date of Injury

Rescheduled From

Appointment Cancelled

Doctor & Location

Doctor Name

Specialty

Location Address

Case & Claim Information

SCS ID

Claim Number

File Number

WCB Case Number

Carrier Case Number

Insurance Carrier Name

Insured Name

Source File

File Name