Documentation Built for the Long Road
Detailed clinical narratives written by treating clinicians — the kind of records that hold up six months into settlement negotiations.
Our services
Personal Injury
You Don’t Get a Second Chance to Document Your Injury Right.
Personal injury rehabilitation at CityIR Manhattan and Great Neck begins with a clinical assessment and a documentation process appropriate to the case. No-fault eligibility, provider participation, and required authorizations are verified before care.
Zero Out-of-Pocket Under No-FaultWe bill direct, you pay nothing
Attorney-Ready RecordsDocumentation built for legal cases
Workers’ Comp AcceptedFull billing handled in-house
Integrated Recovery TeamChiro, rehab, modalities under one roof
Thorough Clinical Assessment
Every patient receives a full-system evaluation. We map every region the accident may have affected — including injuries that haven’t shown symptoms yet.
Coordinated With Counsel
Direct communication with your attorney. Prompt records release. Timely progress reports. We make their job easier — that’s why they refer cases to us.
Why This Matters
Why Documentation Matters as Much as Treatment.
Most personal injury patients don’t realize that the medical care they receive in the first weeks after their accident becomes the evidentiary backbone of their entire case — sometimes years later. Insurance carriers and defense counsel will scrutinize every chart note, every diagnosis, every treatment date. Generic, copy-paste records get discounted. Thorough, individualized records hold up.
We treat the patient first. But we document like the records will be read in deposition — because they will be.
That’s the difference between a no-fault mill and a real personal injury rehabilitation practice. Mill clinics generate identical records for every patient because the goal is volume. We generate records that reflect each patient’s specific clinical picture — because the goal is your recovery and the integrity of your case.
At CityIR, care is built around your examination, function, and goals.
What Recovery Looks Like
The Four Phases of Personal Injury Recovery.
Every personal injury case moves through the same clinical arc. Knowing what comes next removes uncertainty — and helps your case along the way.
Phase 1: Comprehensive Evaluation
The first 48–72 hours after your accident is the highest-yield window for clinical assessment. We perform a full musculoskeletal and neurological evaluation, document baseline range of motion, identify regions affected by the trauma, and establish the medical record that ties your symptoms to the accident.
Phase 2: Imaging & Diagnostic Coordination
When clinical findings warrant it, we coordinate imaging — X-ray, MRI, or referral to specialists for advanced diagnostics. We don’t order imaging by default, and we don’t withhold it when it’s needed. Both decisions get documented.
Phase 3: Active Treatment Phase
Multidisciplinary care matched to your specific injuries: chiropractic adjustments, manual therapy, mechanical traction, percussion therapy, physical rehabilitation, and modalities like electrical stimulation when appropriate. Treatment is individualized — not a fixed protocol.
Phase 4: Functional Recovery & Discharge
As you return to baseline function, we document the trajectory of your recovery — including any residual limitations or symptoms that persist. Your discharge documentation is written carefully because it often becomes one of the most important pieces of evidence in settlement negotiations.
What We Treat
The Injuries Behind Personal Injury Cases.
Whiplash & Cervical Acceleration-Deceleration Injuries
The most common injury after a rear-end collision — and the most often denied. We grade whiplash injuries clinically so the documentation reflects the actual severity, not just “neck pain.”
Lumbar & Thoracic Spine Injuries
Lower back and mid-back injuries from seatbelt forces, abrupt deceleration, and impact trauma. These often involve disc-level injuries that emerge gradually after the accident.
Soft Tissue & Myofascial Injuries
The category insurance carriers most love to dispute — because soft tissue injuries don’t always show on imaging. Thorough clinical documentation is what separates a denied claim from an honored one.
Concussion & Post-Concussion Syndrome
Mild traumatic brain injuries are widely underdiagnosed after auto accidents. Headaches, fogginess, light sensitivity, and balance issues that emerge in the days after a crash often trace back to a concussion no ER caught. We assess and treat.
Joint & Extremity Injuries
Shoulder injuries from seatbelt restraint, knee injuries from dashboard impact, wrist injuries from steering wheel grip during impact. These often present as “minor” until they’re not.
Post-Traumatic Headaches & Migraines
Headaches that started after the accident — whether tied to whiplash, concussion, or upper cervical strain — get documented and treated as a distinct condition. Insurance carriers cannot deny what is properly documented.
Clinical Grading Matters
Whiplash Is Not One Injury — It’s Four Different Ones.
The Quebec Task Force WAD classification grades whiplash injuries by severity. The grade affects treatment, prognosis, and how your case is valued.
The grade determines treatment intensity, expected recovery timeline, and the strength of your injury claim. We grade clinically and document accordingly — not because it’s a bureaucratic step, but because the right grade leads to the right care.
Grade 1
Most patients recover within weeks with appropriate care.
Grade 2
The most common grade we see clinically — and the most often undertreated.
Grade 3
Requires imaging and may involve nerve root impingement.
Grade 4
Surgical evaluation required.
Uber & Lyft Accidents
Rideshare Accident Recovery: What’s Different.
Uber and Lyft accidents involve insurance scenarios that ordinary car accidents don’t. The medical care you receive — and how quickly — affects more than just your recovery.
If you were a passenger, driver, or third-party motorist involved in a rideshare accident, your case is different from a standard auto accident in three ways:
Multiple insurance policies may apply
Whether the rideshare driver was offline, online but waiting for a request, or actively transporting a passenger determines which insurance pays — and policies range from the driver’s personal coverage to the rideshare company’s $1.25 million liability policy. The medical record needs to be thorough enough to support claims under any of those scenarios.
Documentation timing is more important
Rideshare accidents generate digital records — trip timestamps, route data, app status — that get cross-referenced against your medical records. Gaps in your treatment timeline are scrutinized more closely in rideshare cases than in standard auto accidents.
The serious-injury threshold matters more
Rideshare passengers often don’t realize they may have access to substantial bodily injury coverage if their injuries cross New York’s serious-injury threshold. That threshold is met by clinical findings, not by patient self-report — which is why your evaluation matters.
Transportation: We can coordinate transportation for qualifying patients depending on location and case circumstances. Ask when you book.
Delayed-Onset Injuries
The Injuries That Show Up Days After the Accident.
Most patients walk away from a car accident feeling shaken but “fine.” That feeling can be misleading. Adrenaline and inflammation mask the true severity of soft tissue injuries for hours, sometimes days.
Three to seven days later, patients return with: persistent neck pain, headaches, jaw tightness, dizziness, low back stiffness, or numbness in the arms or hands. By that point, the insurance carrier has a window — they ask why you didn’t seek treatment immediately, and they argue that whatever you’re experiencing now must be unrelated.
Why early evaluation matters
Even if you feel fine after an accident, get evaluated. We document baseline. So if symptoms emerge later, the clinical link to your accident is already established.
In Their Own Words
What Personal Injury Patients Tell Us.
Verified reviews from patients treated at CityIR after motor vehicle accidents.
★ ★ ★ ★ ★
“After my car accident, I was overwhelmed and didn’t know what steps to take. The team helped me understand the no-fault process, coordinated my care, and most importantly, helped my neck and back pain finally start improving. I felt like I had a plan instead of just being bounced around.”
★ ★ ★ ★ ★
“My attorney needed clear documentation, and this office was on top of everything. But what mattered most to me was that I actually got better. My pain was limiting my sleep, work, and driving, and the care helped me get back to normal without feeling rushed.”
★ ★ ★ ★ ★
“This didn’t feel like a quick adjustment office. They actually examined me, tracked my progress, and adjusted the treatment based on how I was feeling. After the accident, I had headaches, neck pain, and low back pain — and they helped me make steady progress while keeping everything organized for my case.”
★ ★ ★ ★ ★
“I came in after a rear-end accident with pain I thought would just go away, but it kept getting worse. CityIR helped identify what was going on, treated me consistently, and made sure the records were handled properly for my no-fault case. I felt taken care of medically and supported through the process.”
For Attorneys
How We Work With Counsel.
Trusted by personal injury attorneys across Long Island and NYC because we make their jobs easier — and because the records we generate hold up.
Detailed Clinical Narratives
Every chart note reflects the individual patient. Every progress report is written by a treating clinician, not by billing staff. No template-driven records that read identically across every patient.
Imaging Coordination When Indicated
Established referral relationships with imaging centers and specialists. We don’t order imaging by default — but when it’s needed, we get it scheduled quickly and document the rationale.
Prompt Records Release
Records request? We respond within business days. Subpoena? We don’t slow your case down. Progress reports written when requested.
Direct Attorney Communication
Call us. We’ll talk. We’re familiar with the New York no-fault threshold, the serious-injury standard, and the documentation each requires.
Treatment Liens When Appropriate
In specific situations where no-fault is exhausted and continued care is clinically warranted, we’ll work with you on a treatment lien so your client can continue care without out-of-pocket expense. We don’t lien aggressively — we lien when it’s the right answer.
Multi-Disciplinary Capability
Chiropractic, physical rehabilitation, manual therapy, mechanical traction, percussion, modalities, and shockwave for chronic post-injury cases — all under one clinical roof. Your client doesn’t get bounced between offices.
Are you a personal injury attorney?
Contact us directly to discuss our clinical approach and how we work with referring counsel.
How No-Fault Works
New York No-Fault Coverage, Plainly Explained.
We handle the back-end paperwork so you can focus on getting better. Here’s what the system actually covers.
What no-fault covers
Medical treatment plus a portion of lost wages, up to $50,000 in basic benefits — regardless of who was at fault. Coverage extends to drivers, passengers, and pedestrians injured by a covered vehicle.
When you have to file
The NF-2 form must be filed within 30 days of the accident. Miss the window and benefits can be denied. We file for you.
What it doesn’t cover
Pain and suffering damages. To pursue those, your injury must meet New York’s “serious injury threshold” — a clinical bar defined by statute. Whether your case clears that threshold depends on what your medical records show.
When benefits are exhausted
If you’ve used your $50,000 in no-fault benefits and continued care is clinically warranted, options exist — including treatment liens in specific situations. We’ll discuss what makes sense for your case.
Bottom line: You worry about getting better. We handle the no-fault paperwork, file the forms, coordinate with your attorney, and document your care for the long road of your case.
Coverage details vary by case and insurer. Our team helps coordinate the clinical documentation and paperwork process.
Why CityIR
Why Personal Injury Patients and Attorneys Choose Us.
Multi-Disciplinary Clinical Depth
Sports Chiropractic, Dynamic Neuromuscular Stabilization (DNS), Anatomy in Motion (AiM), shockwave therapy when chronic pain emerges, VAX-D spinal decompression for severe lumbar disc cases. We have the clinical tools that match the actual range of injuries we see.
Documentation Written by Treating Clinicians
Every chart note, every progress report, every discharge summary is written by the clinician treating you — not by template, not by billing staff. The records reflect your specific case because they were written about you.
Direct Coordination With Your Attorney
Records released promptly. Progress reports written when requested. Direct phone access for case discussions. We make your attorney’s job easier — and that’s why they refer cases to us.
Two CityIR Locations
Choose Manhattan or Great Neck. The office confirms service availability, benefits, and documentation requirements for the individual case.
How We Compare
What Sets CityIR Apart.
A direct comparison of how personal injury rehabilitation at CityIR compares to the alternatives most patients consider.
| Generic No-Fault Mill | Standard Chiropractic Office | Hospital-Based Outpatient | CityIR Personal Injury | |
|---|---|---|---|---|
| Initial evaluation depth | 15 minutes, template intake | 30 minutes, focused on chief complaint | Variable, often delayed | 60–90 minutes, full-system clinical assessment |
| Treatment customization | Same protocol for every patient | Adjustments ± modalities | Often siloed by department | Multi-disciplinary, individualized |
| Documentation quality | Templated, repetitive | Clinically focused but generic | Strong but slow to release | Detailed clinical narratives, written for litigation |
| Attorney coordination | Volume referrals | Sometimes available | Slow records release | Direct communication, prompt records |
| Modalities available | Limited | Chiropractic only | Comprehensive but fragmented | Chiro, DNS, AiM, shockwave, VAX-D, manual therapy |
Questions & Answers
Frequently Asked Questions.
How soon after my accident should I come in?
As soon as possible — ideally within 48 to 72 hours. Even if you feel fine. The first 72 hours after an accident is the highest-yield window for clinical evaluation, and the documentation you create in that window often determines how the rest of your case plays out.
Do I need a referral from my doctor?
No. You can come directly to us after an accident. We perform the evaluation, file the no-fault paperwork, and begin treatment based on what we find.
Will you work with my attorney?
Yes. We coordinate directly with your attorney throughout your care — providing progress reports, records on request, and direct communication when your attorney has questions about your clinical course.
What’s the difference between no-fault and bodily injury claims?
No-fault covers your immediate medical care and a portion of lost wages, up to $50,000, regardless of fault. A bodily injury claim is separate — it’s a lawsuit against the at-fault driver for pain and suffering, and it’s only available if your injuries cross New York’s serious-injury threshold. They run in parallel; one doesn’t preclude the other.
Does no-fault insurance cover my treatment here?
Yes. We accept no-fault, file the NF-2 form for you, and handle the back-end coordination. You don’t see a bill from us — we handle that side of it.
What’s a WAD grade and why does it matter?
WAD stands for Whiplash-Associated Disorder. It’s the standard clinical grading system, with grades from 1 (pain only) to 4 (fracture). The grade affects treatment intensity, prognosis, and how your case is valued in litigation. Most clinics don’t grade — they just say “whiplash.” We grade because the documentation should reflect the actual clinical picture.
I was a passenger in an Uber — whose insurance covers me?
In rideshare cases, multiple policies may apply depending on the driver’s app status at the time of the accident — driver’s personal insurance, rideshare company coverage (which can reach $1.25 million when actively transporting), or third-party motorist coverage if another car was involved. Sorting it out usually requires an attorney. We document thoroughly so the medical record supports a claim under whichever policy applies.
What if symptoms started weeks after the accident?
This happens often, especially with whiplash, concussion, and soft-tissue injuries. The earlier you establish a clinical baseline, the easier it is to demonstrate that delayed symptoms trace back to the accident. If you didn’t seek care immediately, come in now — we document the gap and explain it clinically.
What does the “serious injury threshold” actually mean?
Under New York law, you can only pursue pain-and-suffering damages if your injury meets one of nine statutory categories — including permanent loss of use, significant limitation of a body function, or 90/180-day disability. Whether your case clears the threshold depends entirely on what the medical records show. Thorough documentation is the difference.
How long will my treatment take?
It depends on injury severity, treatment response, and clinical course. Mild whiplash often resolves in weeks. More complex cases — disc injuries, post-concussion syndrome, multi-region trauma — can take months. We give you a clear initial estimate and update it as your case evolves.
What if I was at fault for the accident?
New York is a no-fault state — your no-fault benefits cover your medical care regardless of who caused the accident. Where fault matters is in pursuing pain-and-suffering damages, which require demonstrating the other driver’s negligence. Your attorney handles that side; we handle the medical side.
How are you different from the no-fault clinic my friend went to?
Most no-fault clinics run on volume — short evaluations, identical treatment for every patient, template records. We run on clinical depth — full evaluations, individualized treatment, narrative documentation. The difference shows up in your recovery, and it shows up if your case ever reaches litigation.
Which locations offer personal injury rehabilitation?
Personal injury evaluations are available through CityIR Manhattan and Great Neck. The office confirms the appropriate provider, location, and coverage before scheduling.
Related Services
Services Often Combined With Personal Injury Care
Personal injury care often requires more than one treatment approach. These services may be used when clinically appropriate.
Chiropractic Care
Manual assessment and treatment for spine, joint, and soft-tissue injuries after an accident.
Explore →Sport Rehabilitation
Progressive rehab to restore motion, strength, stability, and confidence after injury.
Explore →Shockwave Therapy
Used when chronic tendon, soft-tissue, or post-injury pain persists beyond the early healing phase.
Explore →CITYIR LOCATIONS
Personal-injury evaluations in Manhattan and Great Neck.
Service availability, provider participation, and no-fault benefits are verified for the applicable office and case before care begins.
Choose an Office
CityIR Manhattan or Great Neck
Request an appointment and the office will confirm the appropriate location and documentation process.
Prefer to call? Choose the office closest to you.
Ready to start your recovery?
Book an AppointmentGreat Neck: (516) 418-3798Manhattan: (646) 256-9513Huntington: (631) 659-2980Nesconset: (631) 584-8783
MANHATTAN
City Integrative Rehabilitation
(646) 256-9513
GREAT NECK
City Integrative Rehabilitation
(516) 418-3798
Get Started
Your Recovery Starts Here
Request an initial evaluation at CityIR Manhattan or Great Neck. The office can explain documentation steps and verify current no-fault eligibility, referrals, authorizations, and benefits before care.
Book an Appointment →