For Attorneys and Case Managers
Birch Pain & Spine Group works with personal injury firms throughout San Joaquin County, providing treatment on lien for qualified clients along with the documentation quality those cases require.
Why firms refer to us. Our evaluations are structured to establish mechanism of injury, causation, and treatment necessity clearly, with objective findings correlated to subjective complaints. Dr. Sclafani is double board-certified in Pain Medicine and Physical Medicine & Rehabilitation, completed a clinical spine fellowship, and holds the QME credential. His background includes research at the National Institutes of Health and consulting work in spine care registries, which matters when a report is going to be scrutinized.
What you can expect from our office. Initial evaluations, imaging summaries, procedure notes, and ongoing status updates delivered on time. Impairment assessments where clinically appropriate. Direct communication with attorneys and case managers rather than a phone tree. Clear lien terms and organized billing. Support for deposition or testimony when a case requires it.
Clinical range. Conservative care including chiropractic treatment, spinal decompression, and rehabilitation, alongside interventional pain procedures such as epidural steroid injections, facet joint injections, medial branch blocks, and trigger point therapy. Regenerative options are available on a case-dependent basis. Having both conservative and interventional care in one practice means a documented progression of treatment rather than a scattered record across multiple providers.
Access. Same-week appointments for new accident patients, because early treatment produces both better clinical outcomes and stronger documentation.
To discuss a case or set up a referral relationship, call (209) 830-1799.
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Frequently Asked Questions
Frequently Asked Questions
We are at 227 East 11th Street in Tracy, on 11th Street by Tracy High School, across from McDonald’s, sharing a parking lot with Center Appliances. Our hours are Monday through Thursday, 9am to 6pm. Call (209) 830-1799 for a same-week accident evaluation.
Yes. Later is not ideal, but untreated accident injuries do not simply resolve on their own, and many of our patients come to us after months of hoping they would. We will evaluate what you are dealing with now and document it thoroughly.
Yes, directly and routinely. We provide initial evaluations, imaging summaries, procedure notes, and status updates on the schedule your case needs, and we support deposition or testimony when required. Give us your attorney’s contact information at your first visit and we will handle it from there.
It depends entirely on your injuries. Some soft tissue cases resolve in a matter of weeks, while disc injuries and nerve involvement take considerably longer. You will get a projected timeline in your report of findings, with reassessment along the way, and we document your progress throughout.
MedPay is optional coverage on your own auto policy that pays medical bills after an accident regardless of who was at fault, and it typically pays quickly. Many California drivers carry it without realizing. Check your declarations page or bring your policy information in and we will look at it with you.
Sometimes, depending on your plan and how the accident is being handled. We offer complimentary insurance verification, so call us at (209) 830-1799 and we will determine what your coverage actually includes before you commit to anything.
It is worth an hour of your time. Feeling fine after a collision is common and it is not reliable evidence that you are uninjured. An examination either confirms you came through it well, which is genuinely reassuring, or catches something early while it is easy to treat. Both outcomes are better than finding out in six weeks.
No. We treat accident patients whether or not they have legal representation. Treatment on lien generally does require an attorney, since the lien is tied to a case, but there are other ways to cover care including MedPay, health insurance, and the at-fault driver’s liability coverage. Call us and we will walk through your options.
It means you receive care now and payment comes later, from your settlement, rather than out of pocket today. There is no upfront cost, no insurance authorization to wait on, and no delay in starting treatment. We coordinate the documentation and billing directly with your attorney’s office.
Within the first few days, even if you feel alright. Adrenaline masks pain, and soft tissue and disc injuries often take days or weeks to fully surface. Early evaluation catches developing problems before they become chronic, and it creates a record connecting your injuries to the collision. A long gap between the accident and your first visit is one of the most common reasons a claim gets challenged.

