2600 Airport Freeway
Fort Worth, Texas 76111
Tel: 817-338-1717
Fax: 817-338-1416

Contact Us

Because our practice is devoted to representing clients in personal injury and wrongful death matters, we understand how difficult a sudden injury or the sudden loss of a loved one is for you and your family. You may be receiving settlement offers from an insurance company and wondering what to do. Prematurely agreeing to a settlement may foreclose further attempts to secure compensation if your condition worsens or you develop new complications later. Before you sign anything, meet with us at NO CHARGE.

Please contact us by telephone, email, or by filling out the form below. We will promptly respond to your inquiry.

Fields marked with an asterisk (*) are required.
*Your Name:
*Address:
*City:
*State:	Choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip:
*Email Address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Who was injured?	Choose One Me Family Member Other
If "Other," please describe:
Injured person's name (if different from above):
Address:
City:
State:	Choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Email Address:
Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
When did the injury occur?
Where did the injury occur?
Was this location the injured person's	Choose One Workplace School Home Other
If "Workplace," did the injury occur as a result of employment activities?	Yes No
If "Other," was this a road accident?	Yes No
If no, did the injury occur on another's property?	Yes No
If yes, who owns the property?
How did the injury happen?
What were the surrounding circumstances (weather, lighting, slipperiness, other)?
Were there witnesses to the injury?	Yes No
If yes, what are their names/contact information?
Were others involved or injured at the same time?	Yes No
If yes, what are their names/contact information?
Was there a police report?	Yes No
Did the injured person receive medical treatment?	Yes No
If yes, provide dates, locations, provider names, and details:
Is the injured person still receiving treatment?	Yes No
Was the injured person killed as a result of the accident?	Yes No
If yes, what was the date of his or her death?
Describe lifestyle changes experienced by the injured person and his or her family as a result of the accident:
Describe other losses resulting from the injury (lost wages, damaged property, other):
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The contents of this contact form are provided by and are the responsibility of the person posting the email communication. Your email will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential. You acknowledge that any reliance on material in email communications is at your own risk.