Thank you for hiring our firm to represent you. Next, we need to get your injury information for your case.  Please click start on the questionnaire below to provide this information. It will take 4-5 minutes to complete and will require information from any health insurance cards and medical treatment you have had so far.

 

It is vital to your case that we have accurate information. However, please fill this out with whatever information you have now and submit it so that we can begin to build your case. If you go to a new doctor or facility, we can add it later.