If you were injured in a car accident, a slip and fall, a workplace incident, or any other event caused by someone else’s negligence, you are facing an unfair choice: pay out of pocket for the medical care you need right now, or wait until your case settles — and risk your injury worsening, your treatment records becoming incomplete, and your claim losing value as a result. At City Health Services in Mesa, Arizona, we eliminate that choice. Through our medical lien program, we treat accident injury patients immediately and in full — collecting payment from your settlement or verdict after your case concludes, with no out-of-pocket cost to you during treatment. Our physician and clinical team also provides the comprehensive medical documentation and expert reporting that personal injury attorneys and their clients need to accurately quantify injuries and maximize case outcomes.

What Is a Medical Lien?

A medical lien is a legally binding agreement between City Health Services, you, and your personal injury attorney that allows us to provide treatment now and defer payment until your case resolves. Here is how it works in practice:

1. You are treated in full — all services rendered at City Health Services are provided without requiring upfront payment or use of your health insurance
2. We place a lien on your case — a formal legal document filed with your attorney confirming that a specified portion of your settlement proceeds will be directed to City Health Services for services rendered
3. Your attorney works the case — we provide all records, reports, and clinical support your attorney requests throughout the litigation or negotiation process
4. When your case settles — your attorney distributes the settlement proceeds, satisfying the lien from the portion allocated to medical expenses before disbursing your net recovery

If your case does not settle or results in a judgment insufficient to cover treatment costs, lien arrangements typically limit your personal exposure — the specific terms are addressed in your lien agreement and reviewed with your attorney. We work with experienced personal injury attorneys throughout the Mesa, Gilbert, Chandler, Tempe, and East Valley region who can review your options if you do not yet have legal representation.

What We Treat

Our personal injury program addresses the full range of injuries commonly resulting from motor vehicle accidents, premises liability incidents, and workplace injuries:

• Whiplash and cervical strain: The most common auto injury — soft tissue damage, facet joint capsule injury, and cervicogenic headache resulting from the rapid flexion-extension mechanism of rear-end collisions
• Cervical and lumbar disc herniations: Acute disc injuries causing radiculopathy — arm or leg pain, numbness, and weakness — requiring MRI confirmation, imaging coordination, and targeted treatment
• Thoracic and lumbar spine injuries: Mid-back and lower back strains, facet joint injuries, and seatbelt-related abdominal and chest wall injuries
• Shoulder, knee, and joint injuries: Rotator cuff tears, meniscal injuries, and joint contusions sustained in impact events
• Post-concussive syndrome: Cognitive fog, headache, dizziness, and mood changes following traumatic brain injury — even without direct head impact
• Myofascial pain and chronic post-traumatic pain: The persistent pain syndromes that develop when acute injuries are undertreated and central sensitization sets in

Medical Documentation That Supports Your Claim

The value of a personal injury claim correlates directly with the quality and completeness of the medical documentation supporting it. Insurance adjusters and defense attorneys look for documentation gaps, inconsistencies, and the absence of objective findings to minimize settlements. Our clinical team produces records built to withstand that scrutiny:

• Initial evaluation reports: Comprehensive narrative reports documenting mechanism of injury, symptom onset and progression, clinical examination findings, and functional limitations — prepared within days of your first visit
• Objective measurement: Range of motion measurements, grip strength testing, neurological examination findings, and functional capacity documentation — objective data that quantifies your impairment rather than relying on subjective complaint alone
• Imaging coordination and interpretation: MRI and CT referrals, radiologist reports, and physician interpretation letters linking imaging findings to the accident mechanism
• Progress notes: Every treatment visit generates a progress note documenting your functional status, treatment response, and remaining limitations — creating the continuous treatment record that establishes ongoing injury impact
• Maximum medical improvement (MMI) reports: When you reach a clinical plateau, our physicians prepare a formal MMI determination with permanency rating and future care recommendations — a document that directly supports the damages calculation in your case
• Attorney-requested narratives and letters: We respond promptly to attorney record requests, prepare causation letters linking injuries to the accident event, and provide expert declarations when needed for litigation support

Working with Personal Injury Attorneys

We work closely with personal injury and auto accident attorneys throughout Mesa, the East Valley, and the greater Phoenix metropolitan area. If you are already represented, we will coordinate directly with your attorney’s office for record requests, lien documentation, and scheduling your treatment around any deposition or case preparation needs. If you have not yet retained an attorney, we can provide referrals to experienced personal injury counsel in the area who handle cases on contingency — meaning no legal fees unless your case settles or results in a verdict.

How to Get Started

If you were recently injured in an accident, the most important step you can take today is getting evaluated — both for your health and for your case. Delays in seeking treatment give insurance companies grounds to argue your injuries were not caused by the accident, were not serious, or resolved without intervention. We offer priority scheduling for accident injury patients and can typically see you within 48–72 hours of your call.

Bring to your first visit: the accident report or police report number, your auto insurance information and the at-fault party’s insurance information, any attorney contact information if you are already represented, and any imaging or prior medical records from emergency department visits following the accident.