Exhibit 14

2:14-cv-11700-PDB-MJH Doc # 1-15 Filed 04/29/14 Pg 1 of 4 Pg ID 196
Choice House Calls

17200 10 Mile Road Suite 135

Eastpointe MI 48021

Phone 1-866-688-3679

INITIAL OFFICE VISIT

Patient ID 1275660

Patient Name

Date of Birth _________________

Date of Onset 01/06/10

Date of Evaluation 01/20/10

CHIEF COMTLAINTS

Neck and mid back pain piin in back of both legs and headaches

HISTORY OF PRESENT ILLNESS

The patient was involved in motor vehicle accident on 01/06/10 He was belted

driver While stopped at red light he was rear-ended at high speed At that time he did

not feel any of the symptoms noted above and the next morning on awakening he felt all

of the above complaints along with anxiety and panic attacks He has maintained himself

on over-the-counter medications until now

MEDICATIONS

Over-the-counter pain medications

PREVIOUS JNJURIES ORkCCIDENTS

None

PREVIOUS SURGERIES

None

PRIOR HOSPITALIZATIONS

None

SOCIAL HISTORY

He smokes approximately half pack of cigarettes day He is single

WORK HISTORY

He is unemployed He was cook until approximately two years ago and has not worked

since

PHYSICAL EXAMTNATION

The patient is feet inches tall white male weighing approximately 150 pounds Blood

pressure is 112/61 Temperature is 98 Heart rate 108 beats per minute Examination of

2:14-cv-11700-PDB-MJH Doc # 1-15 Filed 04/29/14 Pg 2 of 4 Pg ID 197
Choice House Calls

17200 10 Mile Road Suite 135

Eastpoinle MI 48021

Phone 1-866-688-3679

Page

Patient ID 1275660

Patient Name

Date of Birth _________________

Date of Onset 01/06/10

Date of Evaluation 01/20/10

the cardiovascular and respiratory systems appears normal 1-JEENT The eyes ears

nose and throat are normal

Examination of the spine shows tenderness along the cervical spine diffusely with

paraspinal spasms bilaterally The range of motion of the cervical spine is reduced by

50% in all planes Examination of the thoracic spine reveals moderate spasm bilaterally

Examination of the lumbar region shows tenderness along the lower lumbar spines at L4

and L5 with paraspinal spasm which are moderate-to-severe The range of motion of the

lumbar spine is reduced by 50% in all planes

He reports that the back pain appears to radiate towards the back of both upper legs He

was anxious throughout the examination and he reports occasional panic attacks

DiAGNOSES

Cervical thoracic and lumbar strain

Postlraumatic stress syndrome

RECOMMENDATIONS

Physical therapy

Pain medications such as Soma and Xanax twice day

PHYSICAL THERAPY GOALS

Short-term and long-term goals are pain management normalization of tissue tenderness

and restoration of mobility deficits to within functional limits

Ram Gunabalan M.D

Transcribed by 1.1 Medical Systems

DD 01/24/10

DT 01/25/10

PTV/MUKJSJU

2:14-cv-11700-PDB-MJH Doc # 1-15 Filed 04/29/14 Pg 3 of 4 Pg ID 198
Choice House Calls

17200 10 Mile Road SuHe 135

Eastpointe Ml 48021

Phone 1-586-279-3200

MEDICAL RE-EVALUATION

Patient ID 1275660

Patient Name

Date of Birth

Date of Onset

Date of Reevaluation 03/02/10

CURRENT COMPLAINTS

The patient complains of bilateral temporal headaches associated with panic attacks

which are at least twice week at the present time

I-Ic continues to complain of mid and low back pain which is persistent The patient

tolerates the physical therapy well and is showing some improvement since the last visit

OBJECTIVE FINDINGS

Examination of the spine shows normal cervical spine region The thoracic spine

shows point tenderness at T8 thorough TI associated with bilateral paraspinal spasms to

moderate-to-severe degree The lumbar spine shows point tenderness at L4 and L5

spines associated with moderate-to-severe paraspinal spasms bilaterally The range of

motion of the lumbar spine is reduced by 50% to GO% The remainingjoints are

umemarkable

DIAGNOSES

Posttraumatie lieadache

Thoracic and lumbar strain

RECOMMENDATIONS

Continue physical therapy

Continue pain medications

Followup in 30 days 4zt

Rain Gunabalan M.D

Transcribed by JJ Medical Systems

DD 03/02/10

DT 03/03/lU

PTV/MUKJS-IU

2:14-cv-11700-PDB-MJH Doc # 1-15 Filed 04/29/14 Pg 4 of 4 Pg ID 199