Life Care Planning Experts

  • Collaborative Approach

    Our consultants bring together expertise in occupational therapy, physiotherapy, social work, case management, chiropractic, and rehabilitation to deliver integrated, comprehensive reports.

  • Responsive and Reliable Support

    We pride ourselves on our professionalism, responsiveness, and ability to meet timelines without compromising quality. From file review to final report, our team provides clear communication and strategic updates throughout the litigation process.

  • Strategic Insight

    We understand how future care needs translate into damages. We provide clear rationale to assist with negotiation, reserve setting, and expert strategy.

  • Serving All Ages

    We support individuals of all ages—from infants and children with developmental or congenital conditions to adults and seniors recovering from trauma or managing chronic illness. Our consultants are skilled in assessing age-specific needs across physical, cognitive, emotional, and vocational domains.

“CBA consistently streamlines the process by managing scheduling, coordination, and communication efficiently. Their responsiveness stands out — they are quick to reply, proactive with updates, and always mindful of court-imposed deadlines. Their involvement helps keep files organized and moving forward.”


Personal Injury Lawyer, Ontario


Report Options

  • Cost Projection of Future Care Needs

    A Cost Projection is a condensed, high-level report that estimates the future cost of care based on a focused review of medical records and a virtual interview.

  • Future Care Needs and Cost Analysis

    A Future Care Needs and Costs Analysis is an assessment of the current and future care needs of an individual following serious injury or disability.

  • Life Care Plan Critiques

    A critique is an objective, detailed analysis of a Life Care Plan prepared by another expert. It is used to assess the accuracy, methodology, and defensibility of the opposing expert.

Practice Areas

  • Life Care Planning for Birth Injuries and Obstetric Malpractice

    At CBA, we specialize in creating thorough, individualized life care plans for individuals affected by birth injuries and obstetric malpractice. With years of experience in the medical-legal field, our Certified Life Care Planners work with personal injury lawyers and families to assess and document the lifelong needs of children and families impacted by severe birth-related conditions.

    Our team has extensive expertise in evaluating the medical, therapeutic, educational, and adaptive needs arising from birth injuries, including but not limited to:

    • Cerebral Palsy: We provide a full scope of necessary services and support for individuals with cerebral palsy, ensuring families have access to required physical therapy, medical treatments, assistive technologies, and long-term care.

    • Brachial Plexus Injuries: For those with brachial plexus injuries, we assess needs ranging from surgical interventions to adaptive equipment and rehabilitation therapies essential for achieving the highest quality of life.

    • Negligent Prenatal and Perinatal Care Complications: Our life care plans address complications stemming from errors in prenatal or perinatal care, carefully considering each client’s unique circumstances and future care requirements.

    Each plan we develop is supported by evidence-based medical recommendations and is customized to anticipate the full range of care, from early intervention to adulthood and beyond. Our goal is to empower families and support personal injury lawyers with comprehensive documentation that accurately reflects the long-term costs associated with birth injuries.

  • Life Care Planning for Individuals Affected by Surgical Errors

    At CBA, we provide expert life care planning for individuals impacted by surgical errors, offering in-depth assessments that thoroughly account for the long-term medical, therapeutic, and rehabilitative needs arising from these incidents. With extensive experience in medical-legal cases, our team specializes in creating life care plans that help personal injury lawyers and their clients accurately project future care costs and support requirements, ensuring that every aspect of post-surgical care is covered.

    Our Certified Life Care Planners are skilled in evaluating a broad range of complications resulting from surgical errors, including:

    • Nerve Damage: Surgical errors leading to nerve damage can result in chronic pain, reduced mobility, and lifelong disability. Our plans detail the required pain management, physical therapy, and assistive technologies necessary for improved quality of life.

    • Infections and Post-Surgical Complications: For clients facing infections or complex post-operative complications, we assess needs such as ongoing medical monitoring, wound care, and specialized treatments, along with projected future medical expenses.

    • Anesthesia Errors: Mistakes in anesthesia can lead to severe and life-altering consequences, from cognitive impairment to physical disabilities. Our life care plans consider the full spectrum of care, including neurological evaluations, rehabilitative therapies, and supportive services.

    Each life care plan we develop is customized to reflect the unique needs of the individual, ensuring that both immediate and future care requirements are clearly documented and supported by medical evidence. By taking a meticulous, evidence-based approach, we provide essential support to families and legal professionals navigating the challenges of surgical error cases.

  • Life Care Planning for Hospital and Clinical Error Cases

    At CBA, we work closely with legal teams to provide precise, evidence-based life care plans that detail the lifelong impact of hospital and clinical negligence. Our experienced Certified Life Care Planners are dedicated to supporting clients affected by a range of errors, including misdiagnoses, medication mistakes, and inadequate care. By collaborating with personal injury lawyers, we ensure that each plan we develop offers a comprehensive projection of future medical, rehabilitative, and supportive care needs, helping clients secure the resources they deserve for a lifetime of recovery and well-being.

    Our team is skilled in assessing the complex needs associated with various hospital and clinical errors, such as:

    • Misdiagnoses and Delayed Diagnoses: Mistakes in diagnosis can lead to severe, lasting health consequences and delayed treatment. Our life care plans account for necessary treatments, follow-up care, and any specialized medical interventions needed to address the effects of these errors.

    • Medication Errors: From dosage mistakes to harmful drug interactions, medication errors can result in ongoing health challenges. We carefully evaluate the client’s future needs for medication management, medical monitoring, and potential rehabilitation services.

    • Inadequate or Negligent Care: Cases involving inadequate care, such as neglect, improper procedures, or lack of proper monitoring, require specialized support. We document all necessary long-term care, rehabilitation, and therapy needs to help clients achieve the best possible quality of life.

    Our life care plans are customized to reflect the unique requirements of each client, with projections that cover all aspects of current and future care. By drawing on best practices, we provide fair and reasonable future care costing.

  • Loss of Service Analysis

    Losing a loved one due to a wrongful death is a profound and devastating experience. In addition to the emotional impact, surviving family members often face significant financial challenges due to the loss of support and services their family member once provided. At CBA, we are committed to providing compassionate, expert support to families navigating these difficult times. Through our Loss of Service Analysis, we help legal teams and families determine the economic value of the contributions the deceased provided to the household, ensuring that these losses are clearly documented and quantified.

    Our Loss of Service Analysis evaluates a broad range of contributions that the deceased may have provided, including:

    • Household Management: From meal preparation and household chores to child care and general upkeep, we calculate the financial impact of services essential to the household’s functioning.

    • Caregiving and Support: If the deceased was responsible for care duties, whether for children, elderly family members, or others, we assess the costs of replacing this invaluable support.

    • Emotional and Economic Support: Beyond practical services, we document the economic value of emotional and spousal support and how the loss affects the household’s financial well-being.

    Each analysis is prepared with sensitivity to the family’s unique circumstances. We ensure that the Loss of Service Analysis addresses every detail and that our recommendations are reasonable.

  • Life Care Planning for Motor Vechicle Accidents

    After a personal injury, individuals may face a lifetime of challenges due to physical, emotional, or cognitive impairments. At CBA, our Certified Life Care Planners specialize in projecting the long-term costs of care, rehabilitation, and support services that clients will need to maintain their quality of life.

    Our life care planning services address a wide range of needs that often arise following a personal injury, including:

    • Medical and Rehabilitative Care: Injuries may require ongoing medical treatment, physical and occupational therapy, and specialized rehabilitation. Our plans detail these needs, incorporating the latest therapeutic approaches to support optimal recovery.

    • Emotional and Psychological Support: For clients experiencing emotional trauma or cognitive impairments, we project the costs of necessary psychological counseling, neuropsychological assessments, and cognitive rehabilitation to promote emotional resilience and mental health.

    • Supportive and Adaptive Services: Many individuals benefit from in-home care, adaptive equipment, and modifications to improve accessibility and functionality within their home environment. We include these critical resources in our plans, allowing clients to lead as independent and fulfilling a life as possible.

    Each life care plan we create is customized to reflect the unique needs of the client, ensuring that all future care, support services, and associated costs are thoroughly documented. By basing our projections on medical research and best practices, we provide families and legal teams with robust, defensible plans that uphold the highest standards in the medical-legal field.

  • Life Care Planning for Slip and Fall Injury Cases

    In slip and fall cases, life care planners play a crucial role in assessing long-term care requirements and projecting future costs associated with recovery. After a slip and fall injury, individuals may face ongoing medical needs, rehabilitation, and support services due to physical, emotional, or cognitive impairments. At CBA, our Certified Life Care Planners develop thorough, evidence-based plans that outline these future care needs, ensuring clarity and precision in understanding the true impact of the injury.

    Our life care plans include:

    • Comprehensive Projections: We detail anticipated needs, from medical treatment and therapy to assistive devices and home modifications, ensuring that every potential cost is accounted for.

    • Objective Evaluation: Our planners provide transparent evaluations that align with medical best practices and current research, accurately reflecting the scope of necessary care.

    • Detailed Reporting: Each report includes projected costs and a clear outline of future care needs, offering a solid foundation for understanding the individual’s long-term requirements and associated expenses.

  • Life Care Planning for Class Action Lawsuits

    In class action lawsuits, life care planners provide essential expertise by assessing the long-term medical, rehabilitation, and support needs of multiple plaintiffs impacted by a common injury or harm. At CBA, our Certified Life Care Planners specialize in creating individualized life care plans that outline each participant’s unique future care requirements, offering a clear projection of associated costs for medical treatment, therapies, and assistive services.

    Our approach ensures that any compensation awarded in a class action accurately reflects the ongoing needs of all plaintiffs, supporting fair and comprehensive recovery. Key components of our life care planning services for class actions include:

    • Individualized Assessments: We recognize that each plaintiff’s experience and care requirements may differ, even within the same class action. Our life care planners conduct thorough evaluations to address each person’s specific medical, therapeutic, and support needs.

    • Detailed Cost Projections: Each plan includes a clear outline of anticipated expenses for ongoing care, from medical treatments and rehabilitation therapies to necessary support services and adaptive equipment.

    • Comprehensive Reporting: Our reports provide a well-documented foundation for understanding the long-term impact of the injury on each plaintiff, supporting equitable compensation decisions in the class action process.

  • Life Care Planning for Survivors of Sexual Abuse

    In cases of sexual abuse, the long-term physical, emotional, and psychological impacts on survivors are profound. At CBA, our Certified Life Care Planners specialize in developing comprehensive, evidence-based life care plans that support survivors’ paths to recovery. Our plans project the future costs associated with essential medical, therapeutic, and rehabilitative services, ensuring that survivors have access to the resources they need for lifelong well-being.

    Each life care plan we create includes a detailed assessment of the survivor’s ongoing support needs, such as:

    • Counseling and Therapy: Trauma-informed counseling and psychological support are crucial to helping survivors process their experiences. We project the costs of long-term counseling, trauma therapy, and specialized support services.

    • Psychiatric Care: For survivors dealing with anxiety, depression, PTSD, or other mental health challenges, we include ongoing psychiatric assessments, medication management, and other essential mental health services.

    • Rehabilitation and Support Services: Survivors may benefit from various support programs to assist with rebuilding their lives. We document the anticipated needs for community resources, peer support, and any physical rehabilitation services required.

    Our life care planning services provide critical support for legal teams handling sexual abuse claims by clearly documenting the lasting effects of abuse and detailing the future costs associated with each aspect of the survivor’s recovery. By collaborating closely with mental health professionals and trauma specialists, we ensure that our plans reflect the highest standards of care and accurately outline the survivor’s lifelong needs.

We have provided expert testimony in life care planning for over 25 years for both plaintiffs and defense counsel, including several landmark cases. E.g., Boone v. O’Kelly, 2021 ONSC 2308; Gordon v. Greig, 2007 CanLII 1333 (ON SC)

Other Specialized Services

  • Loss of Service

    Losing a loved one to wrongful death brings not only emotional hardship but also significant financial strain. Our Loss of Service Analysis helps quantify the economic value of the deceased’s contributions—such as household tasks, caregiving, and emotional support. Each analysis is conducted with care, reflecting the unique circumstances of the family.

  • Expert Witness

    At CBA, our Certified Life Care Planners are experienced expert witnesses, trusted to provide reliable testimony in personal injury and medical-legal cases. Each report undergoes rigorous peer review to ensure accuracy, clinical integrity, and readiness for court. With deep expertise in litigation standards, we deliver life care plans that withstand cross-examination.

  • Estate Litigation

    When estate litigation involves a disabled family member, a comprehensive Life Care Plan is essential to ensure long-term needs are met. Our plans help structure estates to provide lasting, appropriate support for individuals with disabilities which may include future medical treatment, personal care, and support services.

  • "Carol Bierbrier and her team of consultants are critical thinkers, thoughtful in their analysis and approach, and highly personable...CBA has paired my files with the appropriately suitable consultant with the educational qualifications, training, and experience necessary as applied to each individual case. CBA’s consultants make recommendations that are appropriate and consistent with the requirements of applicable jurisprudence."

    - Medical Malpractice Lawyer

  • "I am satisfied with the cost projections… for future care, including attendant care and housekeeping and home maintenance, because they are reasonable and necessary. The categories of care set out by Carol Bierbrier are not a luxurious grouping of services… They meet the necessities of life for this young man, who cannot live out his life in a self-sustaining manner."

    - Justice B.A. Glass , Gordon v. Greig, 2007 CanLII 1333 (ON SC)

  • "You are definitely in the right job… I have had some wonderful help this past three years and you're right on top of that list."

    - Seriously Injured Client

  • “ I just wanted to share the great news with you. We won… Thank you so much for all your assistance and hard work on this.”

    - Medical Malpractice Lawyer