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Online Consultation Form

Please either call our office or complete the following for a free consultation. Our team meets every Monday morning to review all our new potential cases. If your needs are urgent, please call 705-945-8901 or 1-800-309-4445 and speak to one of our new accident intake specialists.

DO I HAVE A CASE? LEGAL CONSULTATIONS IN SAULT STE. MARIE

CONTACT INFORMATION

Full Name*

Street Address

City*

Postal Code

Phone Number*

Email Address

Age

DESCRIBE YOUR ACCIDENT

When did it occur?

Who was at fault?

At the time of the accident were you working, a student, homemaker, retired, or on disability? I was…

If working, have you returned to work?

If so, when?

Describe your work

Do you have a private medical or disability plan?

Have you applied for accident benefits?

Are you getting income replacement benefits, attendant care benefits or caregiver benefits?

Are you getting housekeeping assistance from your insurance?

Is your insurer paying for medical/rehabilitation benefits like prescriptions, physiotherapy, chiropractic, psychological, or massage?

Additional Comments

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