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Personal Injury Case Builder Form

When you begin our personal injury intake process, you should be ready to tell us about your incident. Whether it was a car accident, slip and fall or dog bite, we want to hear the all the details and specifics. Be descriptive but keep the information relevant. This will help us to better assess your claim.

Name(Required)

Step 4 - Mental Health Checklist

A personal injury can cause PTSD, extreme anxiety, depression and debilitating phobias. Studies have shown that crash-related mental traumas can have symptoms lasting up to a year after a personal injury such as auto collision and dog bites, especially for children.

Are you suffering from depression, anxiety, or some other form of emotional distress since your injury?
Have trouble sleeping?
Suffer from Post-Traumatic Stress Syndrome?
Free Case Evaluation

Fill out the form below for a free case evaluation or book an appointment here.