This intake form is to be used by an attorney or staff member to obtain information from a client regarding an auto accident. In addition to the pertinent facts about the accident itself, this form includes questions regarding client employment, litigation and medical history. This packet includes: (1) Auto Accident Client Intake Form Information (2) Auto Accident Client Intake Form State Law Compliance: Designed for use in all states. Among others, this form includes the following provisions: Referred by Client Information Employment Health Insurance Prior Claims Prior Medical Treatment/Care Accident Information Client Vehicle Adverse Information Medical Treatment Witnesses $21.95 Click To Buy |