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Phone Number ex 888-555-1234

Are you the patient or inquiring for a loved one? Are you the patient or inquiring for a loved one?I was involved in an accident.I am working to help a loved one.I work for a law firm, and I will be assisting a client.

What type of accident were you involved in? What type of accident were you involved in?Motor Vehicle AccidentPedestrian vs Motor Vehicle AccidentMotorcycle AccidentOff Road or other Recreational Vehicle AccidentSlip or FallOther

What topics would you like more information on? What topics would you like more information on? Finding the best doctors to assist in your case Setting up services, transportation physical therapy, Home modifications to accommodate your needs. Getting your medical bills paid. Communicating with your insurance company. Contact with case management

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