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THE PALMISANO BUILDING
2530 S. Rural Rd., Suites 4-6
Tempe, AZ 85282
PH:480-557-7800 | 602-234-1400




LA PLACITA VILLAGE
110 S. Church Ave, Suite 6426
Tucson, AZ 85701
(520) 624-7800

REQUEST A FREE INITIAL CONSULTATION


STEP 1: Case Information:

Please be advised that the information you provide herein is Attorney-Client Privileged and Will not be disclosed to anyone outside of our law offices. That means that you can provide us with complete information without worrying about incriminating yourself. No law enforcement agency will ever have access to this information...ever.


When were you injured?
How were you injured?
Who caused your injury?
Do you have health insurance?
Are you currently represented by an Attorney?
Have you been contacted by an agent or claims representative from an insurance company?
Are you currently undergoing medical treatment for the injury?



STEP 2: Contact Information:

Please provide current contact information so we can contact you.


Your Complete Name
Address
City, State & Zip , &
Phone #1
Phone #2
E-mail Address
Preferred Contact Method? Phone
E-mail
Preferred Contact Time? Morning (8am-11am)
Afternoon (11am-1pm)
Evening (1pm-8pm)
How did you find us?


STEP 3: What happens next:

After we review your request...


1. Your information will now be reviewed by a former Arizona Superior Court Judge.
2. We will contact you within 24 hours depending on the time and contact method you have listed above.
3. Please have any medical or insurance documents available [if possible] when we contact you.
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