James E.Smith, ESQ.

Names of person, address, phone and e-mail of person injured, his spouse, if any, and his parent or guardian if a minor.
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 Description
Names
Address
Phone
e-mail of person injured
Spouse
Parent or guardian if a minor.
Date and place of accident or injury?
What happened and why or how?
Have you gone for medical treatment?
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What are your injuries?
When did you first go in for medical treatment and where?
How much are your medical bills?
What is your diagnosis and prognosis?
Have you finished your medical treatment?
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Do you have medical insurance which has paid on your bills for this accient?
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Have you lost wages or income as a result of this accident?
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Was there an incident report of the accident or event?
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Did you give a recorded statement to a claims adjuster, investigator, police or security?
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Do you need a referral to a doctor, chiropractor or physical therapist?
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Do you need a referral to a rental car company or personal injury lender?
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Who is the insurance company for the other side?
Do you have liability, uninsured motorist or medical payments insurance yourself?
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Did the police, highway patrol or other government agency investigate this?
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Did this happen while working, and, if so, do you have a worker's compensation claim?
Do you have any prior accidents wherein you injured yourself in the same body part(s)?
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What compensation do your believe that your're entitled to?
If you are out of town are you willing to come to Las Vegas for the arbitration or trial?
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JAMES E. SMITH, ESQ. � 2008