Personal Injury Questionnaire

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Your Name (required)

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Phone

Date of Accident

Location of Accident

Describe Your Accident

Describe Your Injuries and Treatment

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

About Us

Michael W. Goldstein, Esq. has been practicing New York personal injury law since 1985. 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 above.
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.

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
Personal Injury Law

Telephone: (212) 571-6848
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