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    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.
    Download Type: Microsoft Word
    Last Updated: 03-March-2022
    SKU: 3185