When a serious injury changes your life and another party is responsible, the case lives or dies on the medical evidence. Our team pairs Herb Borroto, M.D., J.D., who reads your records like a doctor, with Alex Alvarez, Board Certified Civil Trial Lawyer, who fights the case in front of the jury. Auto, truck, motorcycle, rideshare, slip and fall — and any accident with a liable party.
Every catastrophic injury case is, at its core, a medical case. The hospital chart, the imaging studies, the ER notes, the surgical reports, the rehabilitation records — this is where the case is won or lost.
Most personal injury firms outsource that reading to a paid expert at the end of the case. We do it from day one. Herb Borroto holds both a medical degree and a law degree. He reads the chart the way a physician reads it — minute by minute, finding the moment the standard was breached, identifying every responsible party, and translating the medicine into evidence a jury can follow.
Then Alex Alvarez, Board Certified by the National Board of Trial Advocacy, builds and tries the case. That dual capability is the whole reason this firm exists.
Imaging, ER notes, operative reports, rehab records. Herb Borroto, M.D., J.D., interprets the medicine from the first call — not at the end of the case.
Alex Alvarez is a Board Certified Civil Trial Lawyer (NBTA) — a credential held by less than 1% of attorneys. Insurance carriers know which firms are prepared to walk into a courtroom.
The negligent driver. The trucking company. The premises owner. The vehicle manufacturer. The maintenance contractor. Each defendant brings its own coverage — we identify all of them.
Life care planners, vocational economists, treating physicians. We document the lifetime cost of the injury so every category of damages is supported by evidence.
We represent people across the country whose lives changed in a moment. If another party caused the injury, we look at the case.
High-speed collisions, multi-vehicle pileups, head-on crashes. Drunk drivers and distracted drivers. When an auto crash causes brain, spinal, or organ injury.
Read more18-wheeler and commercial truck collisions. Federal motor carrier safety violations. Logbook fraud. Inadequate maintenance. Multiple corporate defendants.
Read moreLeft-turn collisions, lane-change strikes, road-defect cases. Riders take the worst of every crash. We push back on the bias before it shapes the case.
Read moreCatastrophic injuries while you were a passenger, another driver, or a pedestrian. Tiered insurance coverage. App-status disputes. We know the layers.
Read moreCommercial premises liability. Wet floors, dangerous stairs, broken handrails, inadequate security. Older adults often suffer brain bleeds and hip fractures with lifelong consequences.
Read moreWhen the accident takes a life. Statutory frameworks vary by state — standing, damages, and timing all matter. We help families navigate the law and the loss.
Read moreConcussion, contusion, diffuse axonal injury, hemorrhage. CT and MRI tell part of the story; neuropsychological testing tells the rest. Herb reads both.
Read moreQuadriplegia, paraplegia, incomplete injuries. Lifetime cost projections depend on the level of injury and the quality of acute care. We document both.
Read moreTraumatic amputation at the scene, or surgical amputation after failed limb salvage. Prosthetic replacement cycles last a lifetime — the case has to account for every one.
Read moreCatastrophic injury work is not a volume practice. Every case gets the same disciplined process.
A real conversation about what happened. No commitment. We collect the records, the police report or incident report, the photos, and any imaging you already have. Herb starts reading immediately.
ER intake, imaging, surgical reports, ICU notes, rehabilitation records, neuropsych evaluations. Herb identifies the mechanism of injury, the timing, every diagnostic finding, and any treatment gap that affects the case.
Treating physicians for causation. Accident reconstructionists for mechanism. Biomechanical engineers when the defense disputes the forces. Life care planners and economists for the lifetime damages. The bench is built to fit the case.
Most cases resolve before trial. The reason they resolve is the defense believes we are ready to try them. Alex Alvarez is a Board Certified Civil Trial Lawyer — that preparation is what produces the strongest outcomes.
Alex Alvarez is one of fewer than 1% of attorneys nationally to hold Board Certification in Civil Trial Practice from the National Board of Trial Advocacy. Before law school, he served as a sworn detective with the Miami-Dade Police Department — experience that shapes how he investigates a case from day one.
Alex has spent three decades building catastrophic injury cases for trial. The reason most cases resolve favorably before trial is that insurance carriers know which firms will actually try them.
Herb Borroto holds both a medical degree (M.D.) and a law degree (J.D.). He reads the imaging, the ER notes, the operative reports, the rehabilitation records the way a physician reads them — minute by minute — and translates the medicine into evidence a jury can follow.
In a catastrophic injury case, the medical chart is the case. Having that expertise in-house on day one is the single most important advantage we bring to the work.
A catastrophic injury is a severe injury that permanently or long-term alters a person's ability to live the life they had before the accident. Common examples include traumatic brain injury, spinal cord injury and paralysis, amputation or limb loss, severe burns, multiple fractures, internal organ damage, and permanent vision or hearing loss. These injuries typically require lifetime medical care, rehabilitation, adaptive equipment, and home modifications, and they often end a person's ability to work in their prior occupation.
Any accident where another party can be held legally responsible for a catastrophic injury. That includes auto and truck collisions, motorcycle wrecks, Uber and Lyft rideshare incidents, slip and falls and other premises liability cases on commercial property, boating and watercraft accidents, pedestrian and bicycle crashes, and defective product cases. We also handle wrongful death claims when a preventable accident takes a life.
Most personal injury firms must hire outside medical consultants to interpret hospital records, imaging studies, and surgical reports. At The Alvarez Law Firm, that medical expertise is already on the legal team. Herb Borroto holds both a medical degree (M.D.) and a law degree (J.D.), allowing him to personally read ER notes, CT and MRI imaging, operative reports, and rehabilitation records and identify exactly where the standard of care or the safe-conduct standard was breached. Alex Alvarez, the firm's managing partner, is a Board Certified Civil Trial Lawyer certified by the National Board of Trial Advocacy — a distinction held by less than 1% of attorneys. Together they form a medical-legal team designed for the most complex catastrophic injury cases.
Statutes of limitations vary significantly by state and by the type of claim. Some states allow only two years; others permit four or more. Some claims (against a government entity, for instance) require a written notice within months of the accident, well before any lawsuit is filed. Because we represent catastrophic injury clients nationwide, we evaluate each case under the deadline that applies to the state where the accident happened. The most important step is to call as soon as possible — medical records, surveillance footage, vehicle data, and witness memories degrade fast, and waiting can permanently weaken your case.
Nothing upfront. The Alvarez Law Firm handles every catastrophic injury case on a contingency fee basis, which means we only get paid if we recover money for you. You will never receive a bill from us. The case review is free, confidential, and comes with zero obligation.
Most catastrophic injury cases resolve before trial. The reason they resolve is that the defense believes the firm representing the injured person is genuinely prepared to try the case. Alex Alvarez is a Board Certified Civil Trial Lawyer, and every case is built for trial from the first call. That preparation is what produces the strongest results, whether the case ultimately resolves before a jury hears it or not.
Herb Borroto, M.D., J.D., will personally read your medical records. Alex Alvarez will lay out the legal options. No cost. No obligation. Just an honest read from a doctor and a trial lawyer on whether you have a case.
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