Pacific Northwest
MD Legal Consulting

Independent Physician Insight for Stronger Case Strategy
Objective, physician-led analysis that clarifies medical facts, identifies risk, and supports confident decision-making early.

Physician Written. Attorney Ready Reports.

Every personal injury case contains medical complexities that can influence risk, value, and case direction. Our physician-led reports analyze records with a focus on what matters most: causation, functional impact, injury mechanics, and well-supported projections for future care.

We translate complex medical information into clear, actionable insight, helping attorneys make informed decisions early, refine case strategy, and minimize unexpected issues as litigation progresses. Those who engage our services gain a deeper understanding of the medical factors shaping their case.

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Let’s Discuss Your Case

Only a physician can provide the medical opinions needed to support pre-litigation and pre-trial documentation. Each report is prepared by a board-certified physician with clinical training and experience in complex diagnostic medicine.

We assist attorneys by:

  • Clarifying causation and mechanisms of injury

  • Assessing functional loss and future care needs

  • Projecting medical costs using case-specific data

  • Supporting conclusions with current medical literature

  • Advising when expert witness involvement may be warranted

Our work prioritizes impact over volume. We help attorneys refine strategy, identify key medical issues early, and focus on what matters most. Through clear, physician-level analysis, you gain a stronger understanding of the case, more defined positions, and fewer unexpected developments.

Medical Insight That Brings Focus to Injury Cases

Medical Legal Consulting Services

At Pacific Northwest MD Legal Consulting, we provide independent, physician-led medical consulting to help attorneys evaluate cases before litigation or trial. Our work brings clarity to medical issues, supports stronger case outcomes, and saves valuable attorney time.

    • Medical Summary Report: comprehensive medical review of client's injuries with medical opinions regarding mechanism of injury and opinion on causation

    • Reports addressing specific medical questions

    • Standard of Care analysis (when applicable)

    • Medical records review services

    • Assessment of future medical care needs and associated costs

  • Rebuttal reports addressing IME findings

    • Development of deposition and settlement preparation questions for experts

    • Case preparation support 

    • Liaison with treating physicians and family members

    • Evaluation and development of medical theories of the case

    • Identification of medically significant vs. non-significant issues

    • Medical case coordination to streamline preparation

    • Strategies to highlight key medical or surgical concerns

    • Medical research and delivery of relevant journal articles

    • Referral to appropriate medical experts for testimony when needed

Important Note: We do not provide trial testimony or direct patient care. Our services are strictly focused on pre-litigation and pre-trial consulting. When testimony is required, we can assist in identifying appropriate expert witnesses.

Core Services Include

  • Medical record review and concise summary reports

  • Opinions on causation, mechanism of injury, and functional loss

  • Assessment of future medical care and costs

  • Independent Medical Exam (IME) rebuttal reports

  • Medical research with literature-backed opinions

  • Referral to expert witnesses when testimony is required

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Dr. Darshika Goswami is a board-certified physician specializing in medical legal consulting for attorneys.

As a rheumatologist and internist, she provides clear, evidence-based medical insight to help attorneys interpret records and strengthen their cases. Recognized as a Top Doctor by Portland Monthly, Dr. Goswami brings deep clinical experience and a commitment to producing thorough, well-researched, and professional reports for every consultation.

Meet Dr. Goswami