Should I Sign a Letter of Protection to Get Medical Treatment After an Auto Accident?

February 17, 2026 | By Law Offices of Kenneth Berger
Should I Sign a Letter of Protection to Get Medical Treatment After an Auto Accident?
<iframe width="200" height="113" src="https://www.youtube.com/embed/fCLeDjqRyn8?feature=oembed&rel=0&autoplay=1" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen title="How to Find the Best Car Accident Lawyer in South Carolina | Auto Accident Attorney Kenneth Berger"></iframe>

Car crashes often result in injuries that require medical treatment. But what happens if you cannot afford necessary medical care? One option may be a "letter of protection." 

What is a Letter of Protection?

Many doctors and physical therapists across South Carolina will treat you at no cost on the front end in return for a letter of protection from an injury attorney that states your balance will be paid out of the settlement proceeds when the legal case concludes.

For example, you may need 6 weeks of physical therapy at a cost of $1,800.00. If the car wreck knocked you out of work or you are without health insurance, you may be unable to afford the out-of-pocket costs physical therapy poses. However, the therapist may be willing to treat you so long as you sign a letter (i.e., contract) agreeing to pay him out of your settlement funds.

Use Letters of Protection with Caution After a Car Wreck

Letters of protection - also known as "lien letters" - are an important tool for uninsured accident victims in South Carolina. Nonetheless, I encourage you to approach these agreements with caution, as you do not want an unethical chiropractor, therapist, or medical doctor running up a huge bill simply because they see dollar signs. 

If you have any questions related to medical treatment after an auto accident, or if you would like me to review a letter of protection for you at no charge, call my South Carolina car accident attorney team in Columbia today at 803-790-2800. As a car accident attorney, my job is to protect your legal and financial interests so that you can focus on getting well.