Spruance & Associates Services

Spruance & Associates Services

At Spruance & Associates, we combine decades of experience with advanced national certifications to deliver professional, client-focused rehabilitation and case support. Serving both individuals and legal professionals, our four key services are grounded in evidence, best practices, and objective analysis.

Life Care Planning

We develop tailored Life Care Plans based on thorough medical record reviews, interviews, and coordination with treating physicians. Our recommendations project future medical and support needs—such as therapies, equipment, home modifications, and care—in a defensible and geographically adjusted format that supports informed decision-making. Learn More.

Vocational Rehabilitation Evaluations

Led by certified CRCs and CVEs, our vocational assessments include comprehensive file review, testing, interviews, and labor market research. We identify transferable skills, realistic vocational goals, and alternative placement options that reinforce return to work planning or case resolutions. Learn More.

Wage Earning Capacity Assessments

Understanding an individual’s pre and post injury earning potential is critical. Our evaluations combine interview data, transferable skills analysis, and regional labor market research. We help quantify wage loss and support compensation strategies in litigation or rehabilitation contexts. Learn More.

Medical Case Management

Our Certified Case Managers coordinate medical care for evaluees recovering from physical or psychological injuries. From attending appointments and securing PPI ratings to overseeing Medicare Set Aside issues and communicating with employers or carriers, we work to help evaluees reach Maximum Medical Improvement (MMI) efficiently and effectively. Learn More.