Request for Physical Exam Civil Rule 16.1 IN THE SUPERIOR COURT OF THE STATE OF DELAWARE COUNTY: NEW CASTLE KENT SUSSEX : _________________________ : Plaintiff(s) : : C. A. No.: ___________________________ : v. : : : _________________________ : Defendant(s) : REQUEST FOR PHYSICAL EXAM Defendant, __________________________________________, hereby requests a medical examination of plaintiff, ____________________________, regarding the in juries alleged. The examination is to be conducted by __________________________________ ______, at his/her office at _____________________________________________________ ________ , on ____, ______________, 20___ at ______ oclock. ______________________________________ A ttorney for Defendant DATED: ____________________ Revised 8.21.03