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Please fill out the following for a free case review. The information submitted will be accorded the utmost confidentiality. This information is necessary in order to do a conflict of interest check before responding to you. If you prefer, you may contact us in Texas at (361) 985-0600 or toll free at (800) 580-0601.

Please provide the following information for the person in need of assistance. Note: Fields with (*) are required. Use of an invalid email address will result in form processing errors.

*Full Name

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Please provide an overview of the legal matter you need assistance with.

Injury Cases

If you need assistance with an injury matter (including wrongful death claims, product liability claims and malpractice claims) please submit the following information as well.

City and State in which you were injured.

Please describe your injuries.

Please describe any treatment you are presently receiving or have received for your injuries.

What is the approximate amount of your medical bills thus far?

If you have missed work due to your injuries, how much in lost wages and/or benefits have you sustained?

If you are currently represented by another attorney, please provide the attorney’s name, address and phone number.

If You Are Not The Injured Party

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After the information is complete, please press the submit button. We will review the information and contact you as soon as we have done a conflict of interest check.

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