Personal Injury (Client) Interview Sheet

PERSONAL INJURY INTERVIEW SHEET. This is an intake and fact-gathering form used by law firms during the initial interview of a personal injury client. The form is designed to capture comprehensive information needed to evaluate and manage a personal injury claim. It collects client identification details, contact information, employment and income data, prior injury history, insurance coverage (medical, automobile, uninsured motorist), and wage-loss verification. The form also documents details of the accident or occurrence, including date, time, location, vehicles involved, witnesses, police reports, and potential alcohol involvement. Additional sections address medical treatment, attending physicians, hospitals, diagnostic tests, property damage, and other claimed damages. www.FormsWorkflow.com