PIP EMC Form

I’ve received several requests for a sample version of the PIP EMC form. Keep in mind that there is no specific form that is required. This is just a basic form that medical providers can use. In fact, you don’t need to use a form. It can literally be one sentence added to your examination report– “Patient had an emergency medical condition.”

For more on Emergency Medical Condition info click here

Click here to see the form. It is also available as a download for free. Again, it’s not necessary but people have asked. EMC form.

FOR THOSE OF YOU WHO THINK YOU DON’T NEED AN EMC ANYMORE:

Yes, a Judge said the EMC requirement is unconstitutional BUT you should still get the EMC diagnosis if possible. Many insurance companies are waiting for the appeal to finish. They are hoping to win the appeal. A case on appeal will typically take 6 months to one year to resolve.

Judge Lewis said PIP was unconstitutional on March 15th. Click here to see proof that insurance companies are still denying PIP claims without an EMC diagnosis.

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