Dr. M. Costa El-Hage

The applicant sought statutory accident benefits following a motor vehicle accident.

The respondent denied funding for physiotherapy and a psychological assessment, arguing the applicant's injuries fell within the Minor Injury Guideline (MIG).

The Licence Appeal Tribunal found that the applicant failed to demonstrate a psychological injury or chronic pain condition caused by the accident.

The Tribunal concluded the applicant sustained a minor injury subject to the $3,500 funding limit, and dismissed the claims for the disputed treatment plans, interest, and an award.

The applicant, who was twelve years old when struck by a car while crossing the street, sought statutory accident benefits for chiropractic and psychological services.

The respondent denied the chiropractic services based on an independent medical examination concluding the physical injuries were predominantly minor and required no further passive treatment.

The respondent partially approved the psychological services based on an assessment recommending shorter sessions, but agreed to pay the balance during the hearing.

The Tribunal dismissed the claim for chiropractic services as the applicant failed to provide medical evidence proving they were reasonable and necessary.

The Tribunal awarded interest on the psychological services but denied a special award under s. 10 of Regulation 664, finding the respondent did not act unreasonably in relying on its medical assessments.