Download and fill out this Personal History Questionnaire intake form, so that your expert can better understand your situation. After completion, save the file, retain a copy for your records, and send it to your expert.
To authorize the release of your medical information, you can download the pdf, fill it out, and send it to your expert, or you can fill out our online HIPAA form and submit it electronically.
Request our services now or contact us to schedule a free case assessment.
Any questions? Call us today.
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