Upper Extremity MedLegal Consulting LLC
Upper Extremity MedLegal Consulting LLC
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legal case files & documentation for occupational therapy record review, functional injury analysis
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.

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Clinical Experience That Translates Into Credible Opinions

Licensed occupational therapist & upper extremity expert witness medical legal consult for attorney

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 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

Injury Consulting, LLC

Atrium Skilled and Rehabilitation Center

Injury Consulting, LLC

Independent Contractor 


San Antonio, Texas 

2025 - Present

Provides expert witness services for personal injury litigation, specializing in upper extremity injuries and traumatic conditions.


  • Conducts comprehensive medical record review and functional assessment for legal cases
  • Develops detailed, evidence-based expert reports addressing causation and functional impact
  • Delivers expert testimony and consultation in both English and Spanish

San Antonio ISD

Atrium Skilled and Rehabilitation Center

Injury Consulting, LLC

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

Atrium Skilled and Rehabilitation Center

Atrium Skilled and Rehabilitation Center

Team Leader


2013 - 2017

Led multidisciplinary rehabilitation services in a skilled nursing environment.


  • Treated patients with orthopedic, neurological, and traumatic conditions, including TBI
  • Supervised therapy staff within a collaborative clinical setting
  • Participated in care planning, regulatory compliance, and Medicare-related processes





Regent Care Medical Center

Regent Care Medical Center

Atrium Skilled and Rehabilitation Center

Supervising Occupational Therapist


2007 - 2013

Managed occupational therapy services within a high-capacity healthcare facility.


  • Evaluated and treated patients with complex medical and neurological conditions
  • Supervised staff and managed caseloads to ensure quality care delivery
  • Oversaw therapy operations within a multidisciplinary environment

Army Residence Community

Regent Care Medical Center

Army Residence Community

Senior Occupational Therapist


2005 - 2007

Provided therapy services across outpatient and skilled nursing settings.


  • Delivered evaluation and treatment for a range of functional and medical conditions
  • Developed specialized therapy programs, including aquatic rehabilitation

San Antonio ISD

Regent Care Medical Center

Army Residence Community

Special Education OT Consultant


2003 - 2005

Delivered consultative occupational therapy services within educational systems.


  • Conducted developmental assessments and supported individualized education plans
  • Collaborated with educators, clinicians, and families to improve student outcomes

Avalon Nursing Home

Integrated Health Services Hospital

Avalon Nursing Home

Team Leader


2002 - 2003

Developed OT programs, managed PPS and MDS, participated in Medicare meetings.

Manor Care

Integrated Health Services Hospital

Avalon Nursing Home

Occupational Therapist


2000 - 2002

Developed OT programs at two nursing centers, served as Rehab Liaison.

Integrated Health Services Hospital

Integrated Health Services Hospital

Integrated Health Services Hospital

Therapist Lead


1998 - 2000

Supervised COTAs and OTRs in long-term care hospitals.

Access Quality Care

Access Quality Care

Integrated Health Services Hospital

Director of OT Department


1997 - 1998

Marketing and development of OT Home Health services.

University Hospital

Access Quality Care

University Hospital

Staff Occupational Therapist


1996 - 1997

Specialized in neurological disorders including TBI and stroke unit.

Credentials

Certified DOT/RFC/RTW FCE Examiner

Licensed Occupational Therapist

Active since 1996, Texas Certified

Bachelor of Science in Occupational Therapy

University of Texas Health Science Center at San Antonio

Graduated 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.

Request Confidential Consultation

Services are provided within the scope of clinical expertise and professional qualifications.

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