Emergency first. Chest pain, a sudden severe headache, weakness or numbness on one side, trouble speaking, a loss of bowel or bladder control, or a head injury with vomiting or worsening confusion is an emergency room trip right now, not a call to a clinic.Chest pain, one-sided weakness, trouble speaking, or a head injury with vomiting or worsening confusion is an emergency room trip now, not a clinic call. Call 911.

A river city reportSt. Louis, Missouri
STL Spine Report Published for Missouri Injury Clinic, Joseph L. Hollingsworth, DC

The record

The record is a care document. Treat it that way.

What a dated injury exam actually is after a crash, what the first visit should include, and how to hand off someone who is still hurting.

The record is the clinical chart a licensed clinician builds while examining you: what happened, what hurts, what the exam found, what the plan is, and the date all of it was written down. It is a care document first. It exists so that you, the next visit, and any clinician who comes after are working from the same facts instead of somebody's memory of a bad week. Everything else this page says follows from that.

This desk is a reading desk. It cannot examine anyone and it does not hold anyone's chart. What it can do is explain what a dated injury exam is, what it is not, and why the date on the first one matters.

What goes in it

Five things, in roughly this order. A history: the crash or the hit in your words, the timeline since, and your health before. An examination: what the clinician measured and tested, with the results. A diagnosis, if the findings support one. A written plan: what treatment, how often, for how long, and what would change it. And visit notes as care proceeds, so the chart shows whether the plan is working.

Missouri Injury Clinic publishes three lanes on moinjuryclinic.com: auto injuries, meaning diagnosis and a treatment plan after a crash; TBI and concussion rehab; and sports injuries. An exam in any of those lanes produces a record because that is how treatment works, not because a webpage told you to collect paper. Concussion findings get the same treatment, with the rehab tools and progress noted along the way.

A four-lane suburban road in south St. Louis County on an overcast morning, traffic signals on mast arms, a low brick office building set back behind trees, light traffic
A south county commercial road on an overcast weekday morning. The Tesson Ferry room sits on a road like this one, and the morning is the right time to call.

Why the date matters

After a crash, symptoms often show up late. People feel fine trading insurance information at the scene and wake up the next morning with a neck that will not turn, a headache that will not clear, or a fog that makes an ordinary shift hard. A dated exam gives a clinician a starting point, so a change two weeks later is a change from something measured rather than a guess.

That is a clinical reason. It is the reason the next clinician, whether at visit four or in a specialist's office in the spring, reads the first exam before anything else. If a claim is ever part of your story, the dated record from the first exam is what everyone will ask for, and it will be asked for because of the same logic: it is the measurement closest to the event. This desk does not put a number on anyone's claim and will not pretend paperwork is treatment.

If days or weeks have already passed, go anyway. A later exam is still a real exam, and being honest about the timeline is part of the record.

The record is a care document first. It exists so the next clinician works from facts, not memory.

What it is not

It is not a legal document, though it may be read by people in legal work. It is not a form you fill out, and it is not something a website can hold for you. It is not a promise about what happens next. And it is not improved by being longer than the findings justify; an honest chart that says the exam was clean is a good chart.

Joseph L. Hollingsworth, DC, is a chiropractor. This is a chiropractic injury clinic, not a law office, and nothing here is legal advice or a comment on anybody's insurance dispute. This desk does not coordinate claims, hold paperwork, arrange payment, or speak to insurers for you. If money or coverage is the question, ask the clinic on the phone and take the answer from them.

What the first visit is supposed to include

A history of the crash, the hit, or the play. A physical exam. A diagnosis if the findings support one. A written plan you can repeat out loud. And a straight answer about whether this is the right room or whether you need imaging, a referral, or a different specialty. Ask the questions plainly: what did you find, what is the plan, how long before we should expect a change, and what would make you send me somewhere else. A clinician who cannot answer that is not handing you a record worth keeping. The first visit walks through it minute by minute.

If you are the one sending a crash patient

Sometimes the person reading this is not the injured one. You are a parent, a coach, a shop owner, a front desk, or the friend still answering their phone at nine at night. The useful handoff is small: their name, a number that actually reaches them, one sentence on what happened and when, where it hurts today, and which of the three rooms is the shorter drive.

Call the room first so nobody arrives at a closed door, and tell the injured person what you told the clinic. A handoff they did not hear about is not a handoff. Then step back. You are getting someone an exam, not managing their care. Do not promise an outcome, a schedule, or a dollar figure on anyone else's behalf.

When the record is not the first priorityChest pain, a sudden severe headache, weakness or numbness on one side, trouble speaking, a loss of bowel or bladder control, or a head injury with vomiting or worsening confusion is an emergency room trip right now, not a call to a clinic. An injury clinic is built for planned care. If a clinic sends you to an emergency room instead of booking you, that is the system working, not a wasted trip.

Educational only. Nothing on this page is medical advice or a diagnosis; a licensed clinician who has examined you is the person to ask. Facts about the clinic come from moinjuryclinic.com. Emergency symptoms go to the emergency room, not to a clinic or a website.