MEDICOLEGAL BOOKINGS

Dear Sir / Madam / Attorney

Medico-Legal and Third-Party Examinations

Terms and Conditions, Effective 1 August 2026

Thank you for considering my practice for your medico-legal and third-party examinations.

My objective is to provide a professional, efficient, responsive and impartial service to legal practitioners and their clients. I appreciate the importance of meeting litigation deadlines and strive to ensure that appointments, assessments and reports are completed promptly, while maintaining the highest professional standards.

The following Terms and Conditions have been established to provide clarity regarding my practice procedures and to ensure an efficient service for all parties involved.

Our Commitment

 1.Prompt Appointments

I undertake to schedule medico-legal examinations as promptly as possible. Every effort will be made to accommodate urgent matters, and appointments are arranged with due regard to the timeframes required by the Courts and legal practitioners.

2. Emergency Examinations

Where an urgent assessment is required, I am available to conduct examinations over weekends to assist with time-sensitive matters whenever reasonably possible.

3. Independent and Objective Opinions

All opinions and reports are prepared independently, objectively and without bias.

My findings are based solely upon the available medical evidence, the history provided, my clinical examination and my professional expertise. Accordingly, my opinions may not necessarily support the position of either party.

4. Experience

With more than forty years of experience in neurosurgery, together with extensive involvement in thousands of medico-legal examinations, expert reports, court appearances and consultations, I endeavour to provide balanced, comprehensive and well-supported medico-legal opinions.

5. Report Turnaround Time

Provided all relevant documentation has been received before the consultation, medico-legal reports are generally completed within five (5) working days from the date of examination.

I recognise the importance of meeting legal deadlines and endeavour to avoid the lengthy delays often experienced in medico-legal matters.

 Fees and Practice Requirements

 To maintain this level of service, the following practice requirements apply.

Letter of Instruction

A formal Letter of Instruction must be received by my practice within 48 hours of an appointment being allocated in order to secure the booking.

Should the Letter of Instruction not be received within this period, I reserve the right to release the appointment to another client.

Medical Records and Supporting Documentation

A comprehensive medico-legal opinion depends upon the availability of all relevant medical records and supporting documentation.

Accordingly, all documentation must be received by my practice at least one (1) week prior to the scheduled examination.

This includes, but is not limited to:

• Hospital and clinic records                  General practitioner records               Ambulance records
• Radiology reports    CT, MRI and X-ray reports        Previous medico-legal reports
• Reports from other medical experts    Any additional documents relevant to the matter

Electronic documents are welcomed and are preferred. To facilitate efficient review, all documents must be scanned in the correct orientation. Documents requiring repeated rotation or correction significantly increase administrative time and may delay preparation of the report.

Where documentation consists of large electronic files, these should preferably be submitted via WeTransfer or another suitable file-sharing platform to facilitate efficient downloading.

The client is requested to bring the original radiological investigations (including CT scans, MRI scans and X-rays where applicable), together with the accompanying radiology reports, to the consultation. These originals will be returned immediately after the examination.

As medico-legal reports are dictated on the day of the consultation and forwarded for transcription immediately thereafter, documentation received after the examination has taken place cannot be incorporated into the original report.

 Should additional documentation be received after the report has been prepared, it can only be considered by means of a separate Addendum Report, which will be invoiced in accordance with my prevailing fee schedule.

The responsibility for ensuring that all documentation is submitted within the required time rests with the instructing attorney.

Medico-Legal Report Fees

Effective 1 August 2026, the following fees apply:

Standard Medico-Legal Report: R23,600.00 (including VAT)

RAF4 Assessment and Report: R11,100.00 (including VAT)

Where a matter requires extensive review of documentation, exceptional preparation or additional research, an adjusted fee may be charged.

Release of Reports

Completed reports will be released electronically, or made available for collection, once payment has been received and cleared in our bank account.

Medico-legal reports require considerable professional time, expertise and preparation. This policy ensures that professional services are compensated promptly, particularly where legal matters may only be finalised several years after the examination.

Appointment Attendance and Cancellation Policy

Appointments are reserved well in advance.

Should a client be unable to attend, a minimum of 48 hours’ notice is required.

If a client:

• fails to attend the appointment; or
• arrives too late for the examination to proceed,

without providing the required notice, a No-Show Fee of R6,900.00 will be charged.

This fee compensates for professional time reserved specifically for that appointment, which cannot ordinarily be allocated to another patient at short notice.

Additional Professional Services

The following services are invoiced separately:

• Letters and written medical opinions
• Telephone consultations
• Addendum Reports
• RAF1 Reports
• Pre-trial consultations
• Joint Minutes – R6,150.00
• Affidavits (maximum five pages) – R2,273.00

Fees for these services vary according to the complexity of the matter, the documentation reviewed and the professional time involved.

Payment is required before any additional reports or documentation will be released.

Travel Outside Gauteng at No additional fee

I am pleased to conduct medico-legal examinations outside Gauteng where required.

No additional professional travelling fee is charged for consultations conducted outside the province.

The following arrangements will, however, apply:

• The instructing attorney is responsible for purchasing a return economy airline ticket prior to departure.
• The instructing attorney is responsible for arranging transport from the destination airport to the examination venue and the return journey to the airport.
• A maximum of three (3) medico-legal examinations will be undertaken during a single day of travel.
• Should the travel itinerary require an overnight stay, the cost of suitable accommodation, meals and reasonable incidental expenses will be for the account of the instructing attorney.

These arrangements enable me to continue providing an efficient and cost-effective service to clients throughout South Africa. Travel from OR Tambo ONLY.

Court Preparation and Expert Witness Testimony

I am available to provide expert witness testimony and attend Court when required.

The following fees apply:

• Court Preparation Fee: R5,000.00 (including VAT) per matter. This is a once-off fee covering preparation for the specific case, review of documentation and consultation in preparation for giving expert evidence.
• Court Attendance Fee: R18,600.00 (including VAT) per day or part thereof.

Court appearances require that professional time be reserved exclusively for the matter.

Accordingly, once a Court date has been confirmed and reserved in my diary, the Court Attendance Fee remains payable should the matter be postponed or cancelled after that date has been allocated, particularly where cancellation occurs on the morning of the scheduled hearing, as that professional time cannot reasonably be reallocated. Please note that all fees relating to Court preparation and attendance must be paid in full before I am able to provide expert testimony.

Translation Requirements

Where a client is unable to communicate fluently in English, the instructing attorney is responsible for arranging a suitably qualified interpreter, or ensuring that a competent person accompanies the client to accurately interpret throughout the examination.

 Interest on Outstanding Accounts

Interest is not charged on standard outstanding accounts. However, unpaid No-Show accounts will attract interest at 18% per annum until payment has been received in full.

Acceptance of Terms

By arranging an appointment, the instructing attorney acknowledges that these Terms and Conditions have been read, understood and accepted.

Thank you for your cooperation and for the confidence you place in my practice.

I look forward to assisting you with your medico-legal and expert witness requirements.

Yours faithfully,

Dr P. Miller
Neurosurgeon