Upper Extremity MedLegal Consulting
Meet The Occupational Therapy Expert
With more than 30 years of licensed occupational therapy experience, Upper Extremity MedLegal Consulting provides objective, evidence-based evaluations and expert witness services focused on the functional consequences of upper extremity injuries, disability, and long-term impairment.
Clinical Experience That Translates Into Credible Opinions
Upper Extremity MedLegal Consulting was founded to bridge the gap between clinical rehabilitation expertise and the legal need for clear, defensible analysis of functional loss.
For more than three decades, Myriam (BS, OTR/L) has focused on evaluating, treating, and documenting upper extremity conditions involving the hand, wrist, elbow, forearm, and shoulder. This long-standing clinical background provides a unique understanding of how injury affects daily activities, work performance, independence, and long-term quality of life.
Every medico-legal opinion is grounded in practical clinical knowledge, accepted occupational therapy standards, and objective evidence-based review.
Objective Opinions
Clear Communications
Clear Communications
Every case is reviewed independently with a focus on evidence, documentation, and measurable function.
Clear Communications
Clear Communications
Clear Communications
Reports and testimony are written to be understandable, organized, and legally useful.
Dependable Service
Clear Communications
Dependable Service
Responsive communication, confidentiality, and commitment to deadlines throughout the litigation process.
Professional Background & Clinical Qualifications
Upper Extremity MedLegal LLc
Upper Extremity MedLegal LLc
Upper Extremity MedLegal LLc
Owner
San Antonio, Texas
Feb 2026 - Present
Established an independent medico-legal practice providing evidence-based functional assessments for
plaintiff and defense counsel nationwide.
- Performs standardized FCE, work capacity assessments, and ADL evaluations.
- Analyzes medical records, clinical findings, and objective testing results to prepare clear, impartial reports.
- Evaluates functional impairment, work capacity, and adaptive equipment needs.
- Conducts interviews, testing, evaluations, and reporting directly in English and Spanish.
Injury Consulting, LLC
Upper Extremity MedLegal LLc
Upper Extremity MedLegal LLc
Independent Contractor
San Antonio, Texas
2025 - Present
Retained as an independent consultant to provide objective functional capacity analyses and ADL
evaluations in personal injury matters.
- Provides impartial evaluations regarding pre-injury and post-injury functional abilities when supported by available records, clinical findings, and objective testing results.
Sarah Roberts French Home
Upper Extremity MedLegal LLc
Franklin Park Boerne Assisted Living Facility
Supervising Occupational Therapist
June 2026 - Present
Conducts occupational therapy functional assessments and treatment plans for individuals admitted for inpatient rehabilitation with multiple neuromuscular disorders, orthopedic trauma and multiple diagnoses.
Franklin Park Boerne Assisted Living Facility
Franklin Park Boerne Assisted Living Facility
Franklin Park Boerne Assisted Living Facility
Supervising Occupational Therapist
June 2025 - Present
Conducts advanced outpatient OT functional assessments and plan of care for
individuals with neuromuscular disorders, orthopedic injuries and multiple diagnoses.
- Supervision of occupational therapy assistants and caseload.
San Antonio ISD
Franklin Park Boerne Assisted Living Facility
Atrium Skilled and Rehabilitation Center
Senior Clinical Evaluator & Supervising Occupational Therapist
2017 - Present
Provides clinical evaluation and consultative services for pediatric populations across multiple campuses.
- Evaluates functional abilities in children ages 3–21 within educational settings
- Collaborates with multidisciplinary teams through ARD and MTSS processes
- Supports students with developmental disabilities and complex medical needs
Atrium Skilled and Rehabilitation Center
Franklin Park Boerne Assisted Living Facility
Atrium Skilled and Rehabilitation Center
Rehabilitation Team Leader & Clinical Supervisor
2013 - 2017
Led multidisciplinary rehabilitation services in a skilled nursing environment.
- Directed assessment and rehabilitation programs for patients with traumatic brain injury, spinal cord injury, cerebrovascular accident, and complex polytrauma conditions.
- Supervised occupational therapists, physical therapists, and rehabilitation personnel while overseeing MDS/PPS documentation and regulatory compliance.
Regent Care Medical Center
Regent Care Medical Center
Regent Care Medical Center
Supervising Occupational Therapist
2007 - 2013
Managed occupational therapy services within a high-capacity healthcare facility.
- Oversaw occupational therapy evaluations and treatment programs for a 130-bed inpatient rehabilitation facility specializing in stroke recovery, orthopedic trauma, and neurological rehabilitation.
Army Residence Community
Regent Care Medical Center
Regent Care Medical Center
Senior Clinical Specialist & Program Developer
2005 - 2007
Conducted advanced outpatient functional assessments and developed aquatic therapy programs for individuals with complex neuromuscular disorders and orthopedic injuries.
San Antonio ISD
Regent Care Medical Center
Avalon Nursing Home
Special Education OT Consultant
2003 - 2005
Delivered consultative occupational therapy services within educational systems.
- Performed developmental evaluations and designed therapeutic intervention programs for children with significant motor and functional impairments.
Avalon Nursing Home
Integrated Health Services Hospital
Avalon Nursing Home
Team Leader
2002 - 2003
Directed rehabilitation program development, MDS/PPS assessment activities, and Medicare documentation compliance.
Conducted OT functional assessment and treatment plans for individuals admitted for inpatient rehabilitation with multiple neuromuscular disorders, orthopedic trauma, multiple diagnoses.
Manor Care
Integrated Health Services Hospital
Integrated Health Services Hospital
Occupational Therapist & Rehabilitation Liaison
2000 - 2002
Performed multi-site functional evaluations and patient placement assessments.
Integrated Health Services Hospital
Integrated Health Services Hospital
Integrated Health Services Hospital
Therapist Lead
1998 - 2000
Supervised clinical staff within long-term acute care and rehabilitation settings.
Access Quality Care
Access Quality Care
Access Quality Care
Director of OT Department
1997 - 1998
Managed clinical operations and home health evaluation services.
University Hospital
Access Quality Care
Access Quality Care
Staff Occupational Therapist (Trauma & Neuro Unit)
1996 - 1997
Provided acute bedside evaluation and acute/inpatient rehabilitation services for individuals with traumatic
brain injury, stroke, and spinal trauma through Reeves Rehabilitation Center.
Credentials
Certified DOT-RFC/RTW Functional Capacity Examiner
Certification #147271 Issued April 2026
Licensed Occupational Therapist
Texas Board of Occupational Therapy Examiners, License #107286 1996-Present
National Board Certification in Occupational Therapy (NBCOT)
Certification #1008204 1996-Present
Bachelor of Science in Occupational Therapy
University of Texas Health Science Center at San Antonio
Graduated 1996 Summa Cum Laude
Need a Specialized Occupational Therapy Opinion for Your Case?
When upper extremity injuries involve disputed function, long-term limitations, independence loss, or return-to-work concerns, objective occupational therapy analysis can provide the clarity your case needs.
Services are provided within the scope of clinical expertise and professional qualifications.
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