Confidential & Secure

Personal Injury
Case Intake Form

Please complete this form before your consultation. It helps our attorneys review your matter in advance so we can give you the best guidance from the very first conversation.

Protected by attorney-client privilege
Takes 5–8 minutes
No obligation
Step 1 of 5
1
Your Information
Please enter your first name
Please enter your last name
Please enter your date of birth
Please enter a valid phone number
2
How Did You Hear About Us?
1
Incident Details
Please enter the incident date
Please enter the incident location
Type of Incident *
Please describe the incident
2
Police Report & Witnesses
Was a police report filed? *
⚠No police report on file may affect your claim. Our attorneys will advise you on how to address this during your consultation.
Were there any witnesses?
1
Fault & Liability
Who do you believe was at fault? *
⚠Texas follows modified comparative fault rules. If you are found more than 50% responsible, recovery may be limited or barred. Our attorneys will discuss this with you.
Has the other party's insurance company contacted you?
⚠Important: Do not give a recorded statement to any insurance company without speaking to an attorney first. Our team will advise you on how to respond.
1
Your Injuries
What injuries did you sustain? (Select all that apply)
2
Medical Treatment
Have you received medical treatment? *
⚠Seeking prompt medical care is critical — both for your health and your case. We strongly recommend seeing a doctor before your consultation if you have not already done so.
Did you miss work because of your injuries?
1
Your Insurance
Do you have uninsured / underinsured motorist (UM/UIM) coverage?
Have you already reported the incident to your own insurance?
2
Prior Claims & Representation
Have you filed any prior personal injury claims?
Are you currently represented by another attorney on this matter?
⚠Please note that a conflict check will be required. Our team will discuss the process for transitioning representation with you.
3
Urgency & Additional Notes
How urgent is your situation?
⚠Texas personal injury cases have a 2-year statute of limitations. Please call us directly at (214) 638-0930 if you believe a deadline is approaching.
4
Review Your Intake
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Incident date
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Incident type
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Fault assessment
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Police report
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Treatment status
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Urgency
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Intake Submitted

Thank you. Our team will review your information and reach out within one business day to confirm your consultation.

Questions in the meantime? (214) 638-0930