Sample Verdict Sheet in a Medical Malpractice Case




CHIAU WEN CHEN, Defendant.

CASE NO.: 24-C-08-001269-MM


  1. Do you find that Chiau Wen Chen failed to follow the standard of care on February 2, 2009 when he performed surgery on Phyllis French, and that this failure was a cause of an injury to Phyllis French?

YES ________ NO________

If you answer is NO, then stop and notify the bailiff. If you answer is YES then answer question number 2.

  1. What damages do you find for the Plaintiff, Phyllis French for:

Past Medical Expenses: __________________

Future Medical Expense: __________________

Past Lost Wages: __________________

Future Lost Wages: __________________

Non-economic damages to include physical injury and
the associated pain, suffering, inconvenience, and
physical impairment in the past and into the future: __________________

Jury Foreperson__________________________ Date:______________

More Malpractice Resources
Client Reviews
They quite literally worked as hard as if not harder than the doctors to save our lives. Terry Waldron
Ron helped me find a clear path that ended with my foot healing and a settlement that was much more than I hope for. Aaron Johnson
Hopefully I won't need it again but if I do, I have definitely found my lawyer for life and I would definitely recommend this office to anyone! Bridget Stevens
The last case I referred to them settled for $1.2 million. John Selinger
I am so grateful that I was lucky to pick Miller & Zois. Maggie Lauer
The entire team from the intake Samantha to the lawyer himself (Ron Miller) has been really approachable. Suzette Allen
The case settled and I got a lot more money than I expected. Ron even fought to reduce how much I owed in medical bills so I could get an even larger settlement. Nchedo Idahosa