Medico-Legal Services:

New Realm Vocational & Management Services Inc. (NRVMS) consistently delivers innovative, practical, and integrated medical/vocational/rehabilitative assessments. Our Proven Track Record has been successfully accomplished by working from a medico-legal preparatory philosophy that is objective, reliable and ethical. (NRVMS) is focused on providing the most Comprehensive Independent Examination Solutions for you 'Our Client'.

Our Mission is to achieve success in the area of Independent Examinations; Disability Case Management; Vocational Evaluation; and Rehabilitative Progression. This is accomplished through Our Professional Level of customer service to both you, 'Our Client' and 'Our Perspective Examinees'. NRVMS strives to be a leader in our industry, never compromising the quality or integrity of our service and adhering to the ever-changing industry standards.

(NRVMS) provides you, 'Our Client', with Court Qualified Experts from a multitude of different professions who will provide you with a level of expertise and experience unequalled in today's Medico-Legal and Tort marketplace. Services include, but are not limited to the following:


Assessment of heart disease (Myocardial infarction, coronary heart disease)


Assessment of spinal column and nervous system (Assessing back pain, neck pain, spinal and other joint issues)


Assessment of skin and skin diseases (Skin diseases like psoriasis, eczema)


Assessment of digestive system (Ulcers, Crohn's disease, diarrhea)

Internal Medicine:

Assessment of internal organs (Chronic illnesses through non-surgical means)

Massage Therapy:

Assessment of soft tissue and joints (Soft-tissue strain assessment)

Maxillofacial/Dental Surgery:

Assessment of mouth and jaw (TMJ, broken jaw)


Assessment of the relation between the brain and behaviour. (Cognitive changes, head and brain injury, memory and learning issues)


Assessment of the eye and eye disease (Blurry vision, detached retina)

Orthopaedic Surgery:

Assessment of musculoskeletal system (Soft tissue injuries, joint injuries)


Assessment of ear, nose and throat (Hearing loss, sinus conditions)

Physiatry/Physical Medicine & Rehabilitation:

Assessment of disability and its management (Soft tissue, chronic pain)


Assessment of the effects of musculoskeletal disability and injury (Soft tissue strains and sprains)

Plastic Surgery:

Assessment of the correction or restoration of form and function (Tissue repair, carpal tunnel syndrome)


Medical assessment of mental disorders (Depression, adjustment disorder, anxiety, medication.)


Assessment of behaviour and mental disorders (Post-traumatic stress disorder, behavioural disorders, phobias)


Interpretation of imaging reports (X-rays, MRIs, etc.) (Verification of diagnoses through diagnostic imaging reports)


Assessment of joints, soft tissues, and connective tissue (Arthritis, fibromyalgia)

Social Workers:

Assessment of personal and social problems in community context (Managing of employment or return to work when injuries are present)


Assessment of genitourinary tract (Cystitis, urinary incontinence)

Vascular Surgery:

Assessment of arteries and veins (Leg pain, abdominal aneurysms)

Medical File Review:

Offered as a free service to "Our Clients". The Medical File Review can provide valuable medical advice to support important case decision-making. A Medical File Review is performed by the relevant clinical expert through a thorough review of the provided documentation.

In-Home Assessment:

Completed by a Registered Occupational Therapist or Registered Nurse to observe and assess an individual's home environment. The In-Home Assessment assists in the determination of benefit eligibility such as attendant care, housekeeping and home maintenance, caregiving, non-earner as well as the identification of potential rehabilitation needs and make recommendations to reduce stressors or sources of fatigue.

Fall Risk Assessment:

Specifically assesses the individual and their home environment to determine any possible safety concerns with respect to falling and provides recommendations to help minimize the specified risk.

Assistive Devices and In-Home Modifications Service:

A follow-up to the NRVMS In-Home Assessment and Fall Risk Assessment, our Assistive Devices and In-Home Modifications Service helps the individual by implementing the recommendations made by the assessor in their homes. Our team will supply and install any needed assisted devices inside your home and will educate you on their usage.

Attendant Care Assessment and Form 1:

In conjunction with the In-Home and Fall Risk Assessment, the Attendant Care assessment is designed to determine types of assistance which the individual may require in order to complete his/her personal care.

Social Environment Screening:

Social Environment Screenings offer appropriate resources and treatment to reduce anxiety and fatigue at home. A social worker, occupational therapist or registered nurse will observe and assess an individual's home environment or home office, making recommendations to reduce stressors and causes of fatigue.

Social Work Assessment:

To determine the diagnosis; treatment; and evaluation of individuals from a social interactive perspective within the person's family and community setting. This is accomplished through introspective analysis; social work related knowledge; execution of relevant skills, interventions and strategies; to assist the individual in achieving optimum psychosocial and social functioning.

Speech Language Pathology:

The practice of speech-language pathology is the assessment of speech and language functions and the treatment and prevention of speech and language dysfunctions or disorders to develop, maintain, rehabilitate or augment oral motor or communicative functions.

Future Care Cost Analysis/Life Care Planning:

A systematic comprehensive analysis to project ongoing medical needs and costs for individuals who have sustained complex or catastrophic injuries and/or illnesses. These evaluations identify probable complications and progression of disorders as the individual ages. This document is used for the purpose of proactive rehabilitation planning, to set aside insurance reserves and to project anticipated medical costs for the purpose of legal settlement. The document is dynamic and can be updated as the individual ages and/or progresses through their rehabilitation.

Functional Abilities Evaluation:

An evaluation of an individual's physical abilities, utilizing standardized protocols. The results are useful in comparison to job demands and other functional tasks to assist individuals to return to previous tasks, or to identify an individual's ability to perform a specific task/job. Disciplines with expertise in this type of evaluation include Kinesiology, Occupational Therapy, Physiotherapy and Chiropractic.

Post-Offer Pre-Placement Screening:

Post-Offer Pre-Placement Screenings are essential for effective risk management by confirming that an individual is physically-able to complete the job that he/she has been offered.

Physical Demands Analysis (PDA):

Is an analysis of a job to quantify and evaluate the physical, cognitive and environmental demands of the essential and nonessential tasks of a job.

Job Site Assessment (JSA):

Is completed on-site at the place of employment and reviews the physical demands that a specific employee must be able to complete in order to safely perform a job.

Ergonomic Services:

Ergonomic Reviews and Assessments can prevent or minimize repetitive strain injuries. Ergonomic risk factors are identified on-site and reports will outline any recommended modifications. Simple modifications can occur during the assessment.

Cognitive Demands Analyses (CDA):

Is completed with a specific focus on the individual's cognitive, emotional and psychological demands of the specific job in question.

Physiotherapy Assessment:

The practice of physiotherapy is the assessment of neuromuscular, musculoskeletal and cardio respiratory systems, the diagnosis of diseases or disorders associated with physical dysfunction, injury or pain and the treatment, rehabilitation and prevention or relief of physical dysfunction, injury or pain to develop, maintain, rehabilitate or augment function and promote mobility.

Chiropractic Assessment:

The practice of chiropractic is the assessment of conditions related to the spine, nervous system and joints and the diagnosis, prevention and treatment, primarily by adjustment of: dysfunctions or disorders arising from the structures or functions of the spine and the effects of those dysfunctions or disorders on the nervous system; and dysfunctions or disorders arising from the structures or functions of the joints.

Massage Therapy Assessment:

The practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissue and joints by manipulation to develop, maintain, rehabilitate or augment physical function or relieve pain.

Case Management Services:

Case Management Services provide an organization with a designated healthcare provider (i.e. the case manager) to monitor the return-to-function process (e.g. work and activities of daily living) and facilitate communications between relevant stakeholders such as the employee, the organization and any treatment providers.

Catastrophic Injury Assessment:

Our experienced CAT assessment teams conduct comprehensive assessments to assist in determining whether a catastrophic designation is appropriate. This determination is based on the AMA Guides to the Evaluation of Permanent Impairment (4th Edition).

The Cognitive Pre-Screen Assessment:

A Cognitive Pre-Screen Assessment can be utilized on its own or in association with any type of rehabilitation assessment tool (i.e. In-Home Assessment; Functional Abilities Assessment; Speech Language Assessment; Vocational Evaluation etc.). The Cognitive Pre-Screen can be conducted by a Neuropsychologist; Psychometrist; or any type of Rehabilitation Professional who has been qualified to administer the Standardized Computerized Cognitive Screening Mechanism (Decyfer). Selection of the appropriate cognitive tool is determined based on the complexity of the file and individual being assessed. The Computerized Cognitive Pre-Screen (Decyfer) is standardized based on the validity and reliability research completed by its creators (a select team of Registered Neuropsychologists). Supporting research documentation and curriculum vitae of the programs' creators / researchers can be provided on request for court / trial / tribunal / or appeal purposes. The purpose of completing the Cognitive Pre-Screen Assessment is to determine if the candidate has any cognitive concerns prior to completing a full neuropsychological assessment avoiding larger possibly unnecessary costs in money and time associated with Neuropsychological Evaluation process.