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Catastrophic injuries claim information

Catastrophic injuries questionnaire

Tell us about your catastrophic injuries case. Share the records you have and mark dates you are unsure about. Sending this form does not extend a deadline or make us your attorney.

Up to 10 PDF or image files, 10 MB each. Do not include Social Security numbers.

305-748-3789

By submitting, you authorize the firm to contact you by phone or email about this request. Submitting does not create an attorney-client relationship, guarantee representation or stop a deadline. Do not rely on this form for emergencies.

Frequently asked questions

What should I do after catastrophic injuries in Florida?

Prioritize treatment, rehabilitation and urgent needs. Keep diagnoses, operative records and current care plans. Document actual daily limitations and caregiver assistance. Preserve incident evidence and ask about timely review of future care needs.

What information helps review a catastrophic injuries claim?

The evaluation considers causation, current treatment, anticipated support, work limitations and available coverage without promising a valuation or result. Incident date; Incident type and location; Diagnosis: brain, spinal cord, amputation, burn or other; Treating facilities and rehabilitation providers can help begin the review. Documents are optional for an initial request.

How long do I have to act?

The incident or loss date, parties, policy terms, notices and possible exceptions need individual review. Do not assume reporting a claim, negotiating or waiting for records extends a deadline.

How can I arrange a meeting?

Meetings by appointment only. Based in Hollywood, Florida. Serving clients throughout Florida, including Miami-Dade, Broward, Palm Beach, Tampa, Orlando and Jacksonville.

Does submitting a form create representation?

No. The firm must agree to representation in a signed written engagement agreement. A submission does not stop a deadline or guarantee an outcome.