Car Accidents

Car accidents often lead to injuries ranging from whiplash to more serious, and even fatal injuries. Usually, liability for a car accident is fairly clear and one-sided, and an injured party has the right to be compensated by the at-fault driver.

Car accidents are the nation’s leading cause of injury and non-disease-related death. Whether you are a victim or related to the victim or victims, car accidents can be physically, emotionally, and financially devastating. And in many cases, they are the result of someone else’s negligence.

We can help you get compensated for medical expenses, pain and suffering, lost wages, future losses, and, in the most egregious cases, punitive damages.

Car accidents are the nation’s leading cause of injury and non-disease-related death. Whether you are a victim or related to the victim or victims, car accidents can be physically, emotionally, and financially devastating. And in many cases, they are the result of someone else’s negligence.

We can help you get compensated for medical expenses, pain and suffering, lost wages, future losses, and, in the most egregious cases, punitive damages.

PERSONAL INJURY INTAKE FORM

Please fill out the form below and we will respond in less than 24 hours

    I. Client Information




    Address (required)



    Cell (required)


    Home Phone



    Your Email (required)


    II. Accident Information

    Date of Accident (required)



    Type of Accident
    AutoSlip & Fall


    Location (required)



    Description of Accident (required)



    Police Notified?
    YesNo
    Report Made?
    YesNo
    By Whom

    Were any arrests made:YesNo
    Name of Defendant:
    Address


    III. Medical Information


    1. Where Were You Hospitalized?

    When?

    Doctor?


    2. Where Were You Hospitalized?

    When?

    Doctor?


    IV . Insurance

    Auto Coverage

    Company

    Limit

    Full or Limited Tort

    Underinsured / Uninsured Motorist Coverage

    Medical Insurance Company



    Palm Beach Office 721 US Highway 1 Unit #115 North Palm Beach, FL 33408

    Local Phone: 561-543-9226 Nationwide: 1-800-241-1559

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    DISCLAIMER: The information on this website is for general information purposes only. Nothing on this site should be taken as legal advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute, an attorney-client relationship. No content on this site may be reused in any fashion without written permission from The Gaines Firm