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        <title><![CDATA[posttraumatic stress disorder - Jeffrey P. Gale, P.A.]]></title>
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                <title><![CDATA[Jeffrey P. Gale, P.A. // Mental and Nervous Injuries Under Florida Law: The Impact Rule and Workers’ Compensation]]></title>
                <link>https://www.jeffgalelaw.com/blog/jeffrey-p-gale-p-a-mental-and-nervous-injuries-under-florida-law-the-impact-rule-and-workers-compensation/</link>
                <guid isPermaLink="true">https://www.jeffgalelaw.com/blog/jeffrey-p-gale-p-a-mental-and-nervous-injuries-under-florida-law-the-impact-rule-and-workers-compensation/</guid>
                <dc:creator><![CDATA[Jeffrey P. Gale, P.A.]]></dc:creator>
                <pubDate>Thu, 12 Jun 2025 20:06:05 GMT</pubDate>
                
                    <category><![CDATA[Civil Litigation]]></category>
                
                    <category><![CDATA[Personal Injury]]></category>
                
                    <category><![CDATA[Workers' Compensation]]></category>
                
                
                    <category><![CDATA[emergency medical technicians]]></category>
                
                    <category><![CDATA[firefighters]]></category>
                
                    <category><![CDATA[first responders]]></category>
                
                    <category><![CDATA[impact rule]]></category>
                
                    <category><![CDATA[law enforcement]]></category>
                
                    <category><![CDATA[mental and nervous injuries]]></category>
                
                    <category><![CDATA[paramedics]]></category>
                
                    <category><![CDATA[posttraumatic stress disorder]]></category>
                
                    <category><![CDATA[ptsd]]></category>
                
                
                
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                <description><![CDATA[<p>Florida’s liability and workers’ compensation systems take a cautious approach when it comes to awarding benefits for mental and emotional injuries. This caution stems from a fundamental public policy concern: without clear limits, allowing recovery for purely emotional harm could lead to a flood of speculative or fabricated claims. As the Florida Supreme Court explained&hellip;</p>
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<p>Florida’s liability and workers’ compensation systems take a cautious approach when it comes to awarding benefits for mental and emotional injuries. This caution stems from a fundamental public policy concern: without clear limits, allowing recovery for purely emotional harm could lead to a flood of speculative or fabricated claims. As the <a href="https://supremecourt.flcourts.gov/" target="_blank" rel="noreferrer noopener">Florida Supreme Court</a> explained in <a href="https://scholar.google.com/scholar_case?case=606059254459782884&q=R.J.+v.+Humana+of+Florida,+Inc.&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>R.J. v. Humana of Florida, Inc.</em>, 652 So. 2d 360 (Fla. 1995)</a>, this concern is central to the application of what’s known as the “Impact Rule.”</p>



<h3 class="wp-block-heading" id="h-what-is-the-impact-rule">What Is the Impact Rule?</h3>



<p>Under the Impact Rule, a plaintiff cannot recover damages for emotional distress caused by another’s negligence unless the emotional distress arises from physical injuries sustained during a physical impact. This requirement is firmly rooted in Florida case law. See <a href="https://scholar.google.com/scholar_case?case=7187856757108961545&q=Southern+Baptist+Hosp.+of+Fla.+v.+Welker&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Southern Baptist Hosp. of Fla. v. Welker</em>, 908 So. 2d 317 (Fla. 2005)</a>.</p>



<p>The rule applies to both common law personal injury claims and statutory workers’ compensation claims. It sets a high bar for plaintiffs and claimants seeking compensation for psychological harm, requiring a demonstrable link to physical trauma.</p>



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<h3 class="wp-block-heading" id="h-common-law-exceptions-to-the-impact-rule">Common Law Exceptions to the Impact Rule</h3>



<p>Over time, the <a href="https://en.wikipedia.org/wiki/Supreme_Court_of_Florida" target="_blank" rel="noreferrer noopener">Supreme Court of Florida</a> has recognized a narrow set of exceptions to the Impact Rule. These exceptions apply only in specific circumstances where emotional distress is particularly foreseeable, severe, and supported by strong public policy justifications. Examples include:</p>



<ul class="wp-block-list">
<li><strong>Intentional Infliction of Emotional Distress:</strong> <a href="https://scholar.google.com/scholar_case?case=15284282202385497541&q=Eastern+Airlines,+Inc.+v.+King&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Eastern Airlines, Inc. v. King</em>, 557 So. 2d 574 (Fla. 1990)</a></li>



<li><strong>Witnessing a Close Relative’s Trauma:</strong> <a href="https://scholar.google.com/scholar_case?case=3950956172675842075&q=Champion+v.+Gray&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Champion v. Gray</em>, 478 So. 2d 17 (Fla. 1985)</a></li>



<li><strong>Wrongful Birth Claims:</strong> <a href="https://scholar.google.com/scholar_case?case=18319149624536454308&q=Kush+v.+Lloyd&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Kush v. Lloyd</em>, 616 So. 2d 415 (Fla. 1992)</a></li>



<li><strong>Stillbirth of a Child:</strong> <a href="https://scholar.google.com/scholar_case?case=15596181989344985279&q=tanner+v+hartog&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Tanner v. Hartog</em>, 696 So. 2d 705 (Fla. 1997)</a></li>



<li><strong>Breach of Confidentiality:</strong> <a href="https://scholar.google.com/scholar_case?case=3055939143119441105&q=gracey+v+eaker&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Gracey v. Eaker</em>, 837 So. 2d 348 (Fla. 2002)</a></li>



<li><strong>Attorney Malpractice Resulting in Psychological Harm:</strong> <a href="https://scholar.google.com/scholar_case?case=12872327392003068583&q=rowell+v+holt&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Rowell v. Holt</em>, 850 So. 2d 474 (Fla. 2003)</a></li>
</ul>



<p>These exceptions are rare and narrowly drawn. As the Supreme Court of Florida has emphasized, “[e]xceptions to the rule have been narrowly created and defined in a certain very narrow class of cases in which the foreseeability and gravity of the emotional injury involved, and lack of countervailing policy concerns, have surmounted the policy rationale undergirding application of the impact rule.” <em>Rowell</em>, 850 So. 2d at 478.</p>



<p>By contrast, courts have declined to recognize exceptions in other emotionally charged situations. For example:</p>



<ul class="wp-block-list">
<li><strong>Negligent Misdiagnosis of HIV:</strong> <a href="https://scholar.google.com/scholar_case?case=606059254459782884&q=R.J.+v.+Humana+of+Florida,+Inc&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>R.J. v. Humana of Florida, Inc.</em>, 652 So. 2d 360 (Fla. 1995)</a></li>



<li><strong>Disclosure of a Student’s Sexual Orientation:</strong> <a href="https://scholar.google.com/scholar_case?case=18351348898764455021&q=Woodard+v.+Jupiter+Christian+School,+Inc.&hl=en&as_sdt=40006" target="_blank" rel="noreferrer noopener"><em>Woodard v. Jupiter Christian School, Inc.</em>, 913 So. 2d 1188 (Fla. 2005)</a></li>
</ul>



<h3 class="wp-block-heading" id="h-application-in-workers-compensation-law">Application in Workers’ Compensation Law</h3>



<p>Workers’ compensation in Florida is governed by statute—primarily <a href="http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/0440ContentsIndex.html&StatuteYear=2019&Title=%2D%3E2019%2D%3EChapter%20440" target="_blank" rel="noreferrer noopener">Chapter 440 of the Florida Statutes</a>. Mental and nervous injuries are addressed specifically in <a href="http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0440/Sections/0440.093.html" target="_blank" rel="noreferrer noopener">section 440.093</a>, which mirrors the Impact Rule. Under this provision, workers cannot receive compensation for psychiatric injuries resulting solely from stress, fright, or excitement, absent a physical injury.</p>



<p>However, there are <strong>limited statutory exceptions</strong> for first responders—defined in <a href="http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" target="_blank" rel="noreferrer noopener">section 112.1815(1)</a> as firefighters, paramedics, emergency medical technicians, and law enforcement officers.</p>



<h4 class="wp-block-heading" id="h-key-exceptions">Key Exceptions:</h4>



<ul class="wp-block-list">
<li><strong><a href="http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" target="_blank" rel="noreferrer noopener">Section 112.1815(2)(a)3</a>:</strong> First responders may receive <strong>medical benefits</strong> for mental or nervous injuries arising from the job, even without physical trauma. <strong>Indemnity benefits</strong>, however, are not allowed under this provision.</li>



<li><strong><a href="http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" target="_blank" rel="noreferrer noopener">Section 112.1815(5)</a>:</strong> In cases involving <a href="https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967" target="_blank" rel="noreferrer noopener"><strong>posttraumatic stress disorder (PTSD)</strong></a> resulting from specifically enumerated traumatic events, first responders may receive <strong>both medical and indemnity benefits</strong>. This is a significant exception that reflects the unique risks faced by these professionals.</li>
</ul>



<h3 class="wp-block-heading" id="h-final-thoughts-fairness-vs-fraud-prevention">Final Thoughts: Fairness vs. Fraud Prevention</h3>



<p>Critics argue that the Impact Rule unfairly bars legitimate claims by those who suffer serious psychological harm in the absence of physical trauma. It’s a valid concern. But as tort scholars such as Prosser and Keeton have explained, requiring a physical impact serves a vital evidentiary function: “It gives assurance that the claimed injury is genuine.” <em>Prosser and Keeton on the Law of Torts</em> § 54, at 363 (5th ed. 1984).</p>



<p>Ultimately, Florida courts and lawmakers continue to strike a delicate balance—acknowledging the real harm caused by emotional trauma while seeking to avoid opening the door to unverifiable and speculative claims.</p>



<p><strong>*********************</strong></p>



<p><strong>Contact us</strong>&nbsp;at&nbsp;305-758-4900 or by email to learn your legal rights.</p>



<p><a href="https://www.jeffgalelaw.com/">Jeffrey P. Gale, P.A.</a>&nbsp;is a&nbsp;<a href="https://www.google.com/search?q=south+florida&rls=com.microsoft:en-US:IE-Address&rlz=1I7MXGB_enUS635&source=lnms&tbm=isch&sa=X&ved=0ahUKEwj_sKjTobrQAhUBhiYKHea4CPIQ_AUICigD&biw=1097&bih=498">South Florida</a>&nbsp;based law firm committed to the judicial system and to representing and obtaining justice for individuals – the poor, the injured, the forgotten, the voiceless, the defenseless and the damned, and to protecting the rights of such people from corporate and government oppression. We do not represent government, corporations or large business interests.</p>



<p>While prompt resolution of your legal matter is our goal, our approach is fundamentally different. Our clients are “people” and not “cases” or “files.” We take the time to build a relationship with our clients, realizing that only through meaningful interaction can we best serve their needs. In this manner, we have been able to best help those requiring legal representation.</p>



<p><strong>DISCLAIMER</strong>: This information provided by Jeffrey P. Gale, P.A. is for informational purposes only and is intended to be used as a non-legal guide prior to consultation with an attorney familiar with your specific legal situation. It should not be considered legal advice or counseling. No such legal advice or counseling is either expressly or impliedly intended. This&nbsp; information is not a substitute for the advice or counsel of an attorney. If you require legal advice, you should seek the services of an attorney.</p>
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            <item>
                <title><![CDATA[Jeffrey P. Gale, P.A. // Recovering for Mental and Nervous Injuries in Florida]]></title>
                <link>https://www.jeffgalelaw.com/blog/jeffrey-p-gale-p-a-recovering-for-mental-and-nervous-injuries-in-florida/</link>
                <guid isPermaLink="true">https://www.jeffgalelaw.com/blog/jeffrey-p-gale-p-a-recovering-for-mental-and-nervous-injuries-in-florida/</guid>
                <dc:creator><![CDATA[Jeffrey P. Gale, P.A.]]></dc:creator>
                <pubDate>Sat, 14 Jan 2023 19:51:37 GMT</pubDate>
                
                    <category><![CDATA[Personal Injury]]></category>
                
                    <category><![CDATA[Uncategorized]]></category>
                
                    <category><![CDATA[Workers' Compensation]]></category>
                
                    <category><![CDATA[Wrongful Death]]></category>
                
                
                    <category><![CDATA[emergency medical technicians]]></category>
                
                    <category><![CDATA[firefighters]]></category>
                
                    <category><![CDATA[first responders]]></category>
                
                    <category><![CDATA[impact rule]]></category>
                
                    <category><![CDATA[law enforcement]]></category>
                
                    <category><![CDATA[mental and nervous injuries]]></category>
                
                    <category><![CDATA[paramedics]]></category>
                
                    <category><![CDATA[posttraumatic stress disorder]]></category>
                
                    <category><![CDATA[ptsd]]></category>
                
                
                
                    <media:thumbnail url="https://jeffgalelaw-com.justia.site/wp-content/uploads/sites/560/2023/01/people.jpg" />
                
                <description><![CDATA[<p>Florida’s liability law and workers’ compensation systems are cautious about awarding benefits for mental and nervous injuries. The underlying basis for the caution is that allowing recovery for injuries resulting from purely emotional distress would open the floodgates for fictitious or speculative claims. R.J. v. Humana of Florida, Inc., 652 So.2d 360 (Fla.1995). What has&hellip;</p>
]]></description>
                <content:encoded><![CDATA[
<p>Florida’s liability law and <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/0440ContentsIndex.html&StatuteYear=2019&Title=%2D%3E2019%2D%3EChapter%20440" rel="noopener noreferrer" target="_blank">workers’ compensation</a> systems are cautious about awarding benefits for mental and nervous injuries. The underlying basis for the caution is that allowing recovery for injuries resulting from purely emotional distress would open the floodgates for fictitious or speculative claims. <a href="https://scholar.google.com/scholar_case?case=606059254459782884&q=R.J.+v.+Humana+of+Florida,+Inc.&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>R.J. v. Humana of Florida, Inc.</em>, 652 So.2d 360 (Fla.1995)</a>.</p>



<p>What has come to be known as the “Impact Rule” requires that “before a plaintiff can recover damages for emotional distress caused by the negligence of another, the emotional distress suffered must flow from physical injuries the plaintiff sustained in an impact.'” See <a href="https://scholar.google.com/scholar_case?case=7187856757108961545&q=Baptist+Hosp.+of+Fla.+v.+Welker&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Southern</em> <em>Baptist Hosp. of Fla. v. Welker</em>, 908 So.2d 317 (Fla.2005)</a>.</p>



<p>The rule is applied in common law personal injury cases and in workers’ compensation cases.</p>



<p>Limited exceptions to the Impact Rule apply in both fields. The common law exceptions have been created by the <a href="https://supremecourt.flcourts.gov/" rel="noopener noreferrer" target="_blank">Florida Supreme Court</a>. See, e.g., <a href="https://scholar.google.com/scholar_case?case=15284282202385497541&q=Eastern+Airlines,+Inc.+v.+King&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Eastern Airlines, Inc. v. King</em>, 557 So.2d 574 (Fla.1990)</a> (recognizing the tort of intentional infliction of emotional distress absent impact); <a href="https://scholar.google.com/scholar_case?case=3950956172675842075&q=Champion+v.+Gray&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Champion v. Gray</em>, 478 So.2d 17 (Fla.1985)</a> (allowing recovery where plaintiff is in the “sensory perception” of physical injuries sustained by a close family member); <a href="https://scholar.google.com/scholar_case?case=18319149624536454308&q=Kush+v.+Lloyd&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Kush v. Lloyd</em>, 616 So.2d 415 (Fla.1992)</a> (finding rule inapplicable to actions for wrongful birth); <a href="https://scholar.google.com/scholar_case?case=15596181989344985279&q=Tanner+v.+Hartog&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Tanner v. Hartog</em>, 696 So.2d 705 (Fla.1997)</a> (impact rule does not preclude recovery of non-economic damages for parents of stillborn child); <a href="https://scholar.google.com/scholar_case?case=3055939143119441105&q=Gracey+v.+Eaker&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Gracey v. Eaker</em></a> (impact rule inapplicable for breach of statutory duty of confidentiality to patient); <a href="https://scholar.google.com/scholar_case?case=12872327392003068583&q=Rowell+v.+Holt&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Rowell v. Holt</em>, 850 So.2d 474 (Fla.2003)</a> (impact rule does not preclude recovery for psychological injury due to attorney’s negligence).</p>



<p>In short, “[e]xceptions to the rule have been narrowly created and defined in a certain very narrow class of cases in which the foreseeability and gravity of the emotional injury involved, and lack of countervailing policy concerns, have surmounted the policy rationale undergirding application of the impact rule.” Id. at 478.</p>



<p>Compare these close-call cases: <a href="https://scholar.google.com/scholar_case?case=606059254459782884&q=R.J.+v.+Humana+of+Florida,+Inc.&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>R.J. v. Humana of Florida, Inc.</em>, 652 So.2d 360 (Fla. 1995)</a> (impact rule applies to negligent HIV diagnosis without physical damage), <a href="https://scholar.google.com/scholar_case?case=18351348898764455021&q=Woodard+v.+Jupiter+Christian+School,+Inc.&hl=en&as_sdt=40006" rel="noopener noreferrer" target="_blank"><em>Woodard v. Jupiter Christian School, Inc.</em>, 913 So.2d 1188 (Fla. 2005)</a> (impact rule applies to outing student’s homosexuality).</p>



<p>Since workers’ compensation is a creature of statute — see <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0440/0440ContentsIndex.html&StatuteYear=2019&Title=%2D%3E2019%2D%3EChapter%20440" rel="noopener noreferrer" target="_blank">Chapter 440</a> — it has been the role of the <a href="http://www.leg.state.fl.us/Welcome/index.cfm" rel="noopener noreferrer" target="_blank">Florida Legislature</a> to decide how mental and nervous injuries will be handled in workers’ compensation cases. The general rule regarding these injuries is addressed in <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0440/Sections/0440.093.html" rel="noopener noreferrer" target="_blank">Florida Statute 440.093</a>. The statute mirrors the Impact Rule.</p>



<p>The sole exceptions to the Impact Rule in workers’ compensation cases are contained in sections <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" rel="noopener noreferrer" target="_blank">112.1815(2)(a)3 and (5)</a> of the Florida Statutes. The exceptions apply exclusively to firefighters, paramedics, emergency medical technicians, and law enforcement officers, defined in subsection (1) as “first responders.” All other injured workers are subject to <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0440/Sections/0440.093.html" rel="noopener noreferrer" target="_blank">440.093</a>.</p>



<p>Generally, workers injured on the job are eligible for <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0440/Sections/0440.13.html" rel="noopener noreferrer" target="_blank">medical</a> and <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0440/Sections/0440.15.html" rel="noopener noreferrer" target="_blank">indemnity benefits</a>. While 440.093 precludes both for a mental or nervous injury due to stress, fright, or excitement only, the exception in <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" rel="noopener noreferrer" target="_blank">section 112.1815(2)(a)3</a> allows for medical benefits. The exception does not allow for indemnity benefits.</p>



<p>Interestingly, <a href="http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0100-0199/0112/Sections/0112.1815.html" rel="noopener noreferrer" target="_blank">112.1815(5)</a> allows first responders to recover both medical and indemnity benefits for <a href="https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967" rel="noopener noreferrer" target="_blank">posttraumatic stress disorder (PTSD)</a> if caused by particularized circumstances listed in the statute.</p>



<p>The Impact Rule may seem unfair. Some people legitimately experience mental and nervous issues from little to no physical trauma. However, the reasoning behind the rule is sound: the requirement of a physical impact gives courts a guarantee that an injury to a plaintiff is genuine. W. Page Keeton et al., <em>Prosser and Keeton on the Law of Torts</em> § 54, at 363 (5th ed. 1984).</p>



<p><strong>*********************</strong></p>



<p><strong>Contact us</strong> at 305-758-4900 or by email to learn your legal rights.</p>



<p><a href="/">Jeffrey P. Gale, P.A.</a> is a <a href="https://www.google.com/search?q=south+florida&rls=com.microsoft:en-US:IE-Address&rlz=1I7MXGB_enUS635&source=lnms&tbm=isch&sa=X&ved=0ahUKEwj_sKjTobrQAhUBhiYKHea4CPIQ_AUICigD&biw=1097&bih=498" rel="noopener noreferrer" target="_blank">South Florida</a> based law firm committed to the judicial system and to representing and obtaining justice for individuals – the poor, the injured, the forgotten, the voiceless, the defenseless and the damned, and to protecting the rights of such people from corporate and government oppression. We do not represent government, corporations or large business interests.</p>



<p>While prompt resolution of your legal matter is our goal, our approach is fundamentally different. Our clients are “people” and not “cases” or “files.” We take the time to build a relationship with our clients, realizing that only through meaningful interaction can we best serve their needs. In this manner, we have been able to best help those requiring legal representation.</p>



<p><strong>DISCLAIMER</strong>: This information provided by Jeffrey P. Gale, P.A. is for informational purposes only and is intended to be used as a non-legal guide prior to consultation with an attorney familiar with your specific legal situation. It should not be considered legal advice or counseling. No such legal advice or counseling is either expressly or impliedly intended. This  information is not a substitute for the advice or counsel of an attorney. If you require legal advice, you should seek the services of an attorney.</p>
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