GET IN TOUCH

Please describe the incident in your own words, including what happened before, during, and after the injury.

Please provide the date of the incident, where it happened, and any details about the scene or conditions at the time.

Please identify everyone involved, including individuals, businesses, property owners, drivers, employers, witnesses, police, or any other entities connected to what happened.

Please describe your injuries, when symptoms began, where you received treatment, the names of any hospitals, clinics, doctors, therapists, or other providers, and whether treatment is ongoing.

Please explain who you believe caused or contributed to the incident and the facts that support that belief.

Please identify any insurance companies, adjusters, claim numbers, policy information, recorded statement requests, or communications you have received.

Please describe any missed work, lost income, medical bills, out-of-pocket expenses, daily-life limitations, pain, emotional effects, or caregiving needs. Also let us know whether you have consulted or hired another attorney, received a settlement offer, or signed any release, settlement agreement, medical authorization, or other document related to the incident.

Please describe the events in your own words, starting with the medical issue or condition that led you to seek care, what symptoms you had, what diagnosis or treatment was discussed, and what happened during and after the care.

Please identify all providers involved in the care, including treating doctors, nurses, specialists, hospitals, urgent care centers, imaging centers, labs, pharmacies, and any follow-up providers.

Please provide the dates or approximate timeframe of the appointments, procedure, hospitalization, diagnosis, treatment, or follow-up care, and explain when you noticed a problem or learned that the care may have caused harm.

Please explain what you believe was done incorrectly, not done, delayed, misdiagnosed, overlooked, improperly prescribed, improperly performed, or not explained to you, and why you believe that caused harm.

Please describe the injury, complication, worsened condition, additional diagnosis, corrective treatment, hospitalization, surgery, therapy, medication, or follow-up care you have needed as a result.

Please describe any pain, disability, limitations on daily activities, emotional distress, missed work, lost income, medical bills, out-of-pocket costs, need for assistance, or long-term effects.

Please let us know whether you have obtained or requested records, spoken with or hired another attorney, filed a complaint with a hospital, clinic, medical board, insurer, Medicare/Medicaid, or other agency, received any response, or signed any release, authorization, settlement, or claim document.

Walk me through the events in your own words, including what happened before, during, and after the incident.

Please tell me the date(s), approximate time(s), location(s), whether the conduct happened once or multiple times, and whether it is still happening.

Please identify everyone involved, including the individuals who harmed you, their employer or agency, witnesses, law enforcement, government entities, medical providers, or anyone else connected to what happened.

Please describe all of the ways this has affected you, including: • Physical or emotional injuries • Medical or mental health treatment received or still needed • Employment or educational consequences • Financial losses or property damage • Whether the harm is ongoing

Tell me who you believe is responsible, what they did or failed to do, and why you believe their actions violated your civil rights. Also, do you know whether anyone else experienced similar treatment?

Have you filed any complaints, grievances, administrative charges, police reports, EEOC complaints, IPRA requests, lawsuits, or appeals? Are there any court cases, hearings, investigations, or upcoming deadlines related to this matter?

What documents, photographs, videos, recordings, text messages, emails, social media posts, medical records, employment records, or other evidence do you have? Would you be able to help create a timeline of events?