Monday, September 6, 2010

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Personal Injury, General Contact Form

Name

Email Address

Phone Number

When were you injured?

How did the accident/injury happen?

Where did the event occur?

Was the accident/injury work-related?
Yes  No 

Were there any witnesses to the occurrence?
Yes  No 

Was an investigation conducted (police or otherwise)?
Yes  No 

Did you do anything to cause the accident?

Did you know any of the parties involved, prior to the accident?

When did you first receive medical care for your injury?

What was your diagnosis?

What treatment have you received?

How has your lifestyle changed as a result of the accident?

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DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

 

To set up a free initial consultation with the personal injury lawyers of Yearout & Traylor, P.C., please visit our contact page or call 1.800.226.6116. Our law offices are in Birmingham, Alabama, and most clients come from Alabama and Georgia, though we have helped clients throughout the United States. Our personal injury lawyers receive many cases from the Alabama cities of Bessemer, Mountain Brook, Homewood, Fairfield, Gadsden, Jasper, Mobile, Montgomery, Huntsville, and Tuscaloosa, as well as the Georgia cities of Atlanta, Macon, and Savannah.