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Spinal Cord Injuries Contact Form

When you are deciding whether to pursue legal action for your spinal cord injury, working closely with an attorney who will explain all of your rights, options and their consequences can help you make the right decision for your situation. Contact our firm today to speak with a lawyer experienced in representing clients in spinal cord injury cases.

Answers to Your Spinal Cord Injury Questions

Have you or someone you love suffered a serious spinal cord injury as the result of someone else's carelessness? With serious questions about the future, do not wait to get answers and find solutions. At the offices of Richard Wern Lawyers, we can help you understand your rights and explore your options. With offices in North Charleston and St. George, we are prepared to help spinal cord injury victims throughout South Carolina.

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Spinal Cord Injuries Contact Form

Name

E-mail Address

Phone Number

Business Phone

Cellular or Pager

Address

City

State

Zip

Injury Information

Have you been diagnosed with a spinal cord injury?
Yes No

If so, please identify the type of injury (C4, T12, etc.)

What was the date and time of your injury?

Name, address, and phone number of your physician(s):

Was the injury complete or incomplete?

When and where were the following tests completed?

CT Scan
MRI
X-rays

Where did the accident occur?

Please describe the details of the accident.

Please provide the names of witnesses to the accident.

If an automobile was involved, please list the make, model and year.

If the accident occurred on a construction site, please provide the address and name of the site supervisor.

Please provide any other relevant information or concerns:

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Charleston SC Personal Injury Attorney Video

http://www.wernlawyers.com 843-553-0007 or 843-563-4444 Richard Wern Lawyers handles personal injury cases including car accidents, medical malpractice and workers compensation. Call the firm in North Charleston or St. George, South Carolina.

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The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

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