Whether you are preparing for litigation or just need to consult with our team, we offer the insight and integrity needed to navigate complex medical and vocational challenges.
(904) 399-5357Spruance & Associates Core Services
Life Care Planning
We create individualized, evidence-based life care plans that outline future medical needs and associated costs, helping support informed decision-making in legal and rehabilitation settings.
Vocational Rehabilitation Evaluations
Our certified consultants assess employability through interviews, testing, and labor market analysis to identify realistic job goals and return-to-work potential.
Wage Earning Capacity Assessments
We analyze an individual’s ability to work and earn income by review of work and educational history, proven earnings record review, transferable skill analysis and local labor market research to support our opinion.
Medical Case Management
Our case managers coordinate care, attend medical appointments, and facilitate communication between all parties to support recovery and long-term outcomes.
Providing Services Since 1989
Plaintiff Attorneys

We deliver clear, defensible reports grounded in evidence and industry best practices. Our team provides thorough life care plans and vocational evaluations, designed to provide objective, forward-looking guidance on long-term needs for attorneys and their clients.
Defense Attorneys

We provide thorough, objective reviews of outside life care plans and vocational assessments, identifying any gaps or unsupported assumptions and validating strengths when they are present.
Other Individuals

If you’ve experienced a serious injury, our team is here to help. We work with you and your legal or medical team to coordinate care, assess future needs, and support your return to daily life and work.
