client intake form for personal injury client intake form for personal injury client intake form for personal injury

Lawyer Client Intake Questionnaire for Personal Injury Claims

Lawyers can use this Client Intake Questionnaire to collect the information they need from a client to launch a personal injury case.

  • The 24-page form contains numerous sections for information gathering, including:
    • personal details about the client, spouse/partner and children,
    • employment, education, community involvement,
    • military service,
    • hobbies and activities,
    • the accident / incident that resulted in the injury,
    • details about the injury, diagnosis, prognosis, treatment and ongoing effects,
    • medical expenses, vehicle repair costs, and other related costs,
    • insurance details for all vehicles involved,
    • medical history,
    • driving records,
    • criminal history,
    • a section for slip and fall injury claims.
  • Available in MS Word format and fully editable to fit your exact needs.
Document Type: Microsoft Word
Last Updated: 09-March-2025
SKU: 3185
$12.99
Product tags
Related products
Picture of Employee Confidentiality Agreement for Law Firm

Employee Confidentiality Agreement for Law Firm

Law firms are bound by client confidentiality provisions, which must be observed by legal professionals and staff alike. Have all new employees sign this Confidentiality Agreement as a condition of their hiring.

  • The employee acknowledges that all information and documents in the firm's possession are strictly confidential.
  • The employee undertakes not to disclose any information except as authorized by the client or required by law.
  • The provisions of the Agreement extend to discussing or disclosing information with family, friends or other clients.
  • The employee must continue to maintain confidentiality even after leaving the employment of the firm.
  • This is a generic template which does not contain references to the laws of any specific country or jurisdiction.
$6.29
Picture of Referral Acknowledgement and Release

Referral Acknowledgement and Release

Download this free Referral Acknowledgement and Release form to be signed by a client who has been referred to a lawyer in a specific matter.

  • The form releases the referring party with respect to any claims arising from the matter being referred.
  • The client acknowledges that they are relying solely on the advice of the lawyer they have been referred to.
  • This is a generic form which can be used in many jurisdictions.
  • Available in MS Word format.
$0.00
lawyer client intake form

Lawyer Client Intake Questionnaire for Medical Malpractice Claim

This Client Intake Questionnaire allows lawyers to collect the information they need from a client to launch a medical malpractice claim.

  • The 15-page form contains numerous sections for information gathering, including:
    • personal details about the client, spouse/partner and children,
    • employment background,
    • the details of the alleged malpractice and the injury resulting from it,
    • potential witnesses,
    • statements or comments from other medical practitioners,
    • medical expenses and other related costs,
    • past medical history,
    • criminal record,
    • client expectations.
  • Available in MS Word format and fully editable to fit your exact needs.
$9.99