Personal Injury Questionnaire

Michael W. Goldstein, Esq. has been practicing New York personal injury law since 1979. If you sustained a serious injury, such as a fracture or an injury requiring surgery, as a result of an accident, please complete and submit the form below.
  1. Did the police respond to your accident?
  2. If so, do you have a police report?
  3. Were you examined or treated at a hospital emergency room?
  4. Were you hospitalized?
  5. Did you see a doctor as a result of your injuries?
  6. Are you currently under a doctor's care for injuries sustained in this accident?
  7. For security purposes, please answer the question below
 

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Please click the Submit button. If you do not receive a confirmation message, an error has occurred. Therefore, kindly confirm the required fields (including Name and Email) and verify your answer to the security question. Then please submit this form again. If you are unable to successfully submit this form, please call us.

Notice: Your submission of this form, or a free telephone consultation, will not constitute an attorney-client relationship.

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GENERAL DISCLAIMER
Visiting our website, submitting any information via questionnaire or email, or discussing your case with us does not create an attorney-client relationship. An attorney-client relationship with our law firm can only be established with the signing of a written retainer agreement prepared by our law firm.

Under New York law, in the event there is no recovery in a contingency fee case, the client is responsible for the expenses of the litigation, including court costs and disbursements.

Prior results do not guarantee or predict a similar outcome with respect to any future case or legal matter.

NEW YORK INJURY ATTORNEY DISCLAIMER
The New York personal injury, accidental injury, serious accident, or other personal injury legal information contained in this website is not intended to constitute legal advice, nor to create an attorney-client relationship or lawyer-client relationship. We recommend that you discuss your accident case with a Personal Injury Attorney or Accident Lawyer practicing law in New York promptly, since there are strict time limitations that apply to New York injury lawsuits.

This website is not intended to solicit clients for accident cases outside of New York State. However, we do represent accident victims who live outside of New York, who sustained fractures or other serious injuries in a motor vehicle collision, hit & run accident, uninsured motorist accident, under-insured motorist collision, motorcycle collision, pedestrian accident, bicycle accident, roller blade accident, in-line skating accident, premises accident, trip & fall accident, construction site accident, or on the job accident that occurred in New York State, as well as wrongful death or accidental death caused by a NY accident.

New York Personal Injury Lawyers and Attorneys New York representing accident victims who have sustained serious injuries in New York City, Manhattan, Bronx, Brooklyn, Queens, Staten Island, Long Island, Nassau County, Suffolk County, Westchester County, Rockland County and upstate New York.

Law Offices of Michael W. Goldstein, a New York personal injury law firm
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