Edward Wade Garrison, Lawyer, Mediator, Attorney at Law - Free Injury Case Evaluation Form - law, lawyer, attorney, firm, San Antonio, antonio, Texas, texas, personal injury, civil, litigation, automobile, car, no-fault, litigate, litigating attorney, legal resources, injury claim, free case evaluation, legal problems, physical emotional harm, negligence claims, wrongful death, wage loss, permanent injury, disability, jury trial lawyer

Law Office of
EDWARD GARRISON
Lawyer, Mediator, Attorney at Law
San Antonio and Austin, Texas
SUBMIT INJURY EVALUATION FORM (BELOW)

Texas Divorce and DWI Lawyer, attorney at law, among san antonio texas divorce and DWI lawyers & san antonio texas attorneys at law EDWARD GARRISON
ATTORNEY AT LAW
5411 IH 10 W
San Antonio, Texas 78201
210-733-4291, phone
210-733-4294, fax
1 888-507-8544, toll free
edward@garrison-law.com

map to Edward Garrison Law Office, San Antonio, Texas

EDWARD GARRISON LAW HOME
FREE INJURY CASE EVALUATION FORM

This form is provided by Edward W. Garrison, Attorney at Law, for a free, no obligation evaluation of your Texas injury claim. Please fill in each of the form fields below to supply the information needed to complete the evaluation. The information you submit will be kept confidential once it is received. You will receive a response with our evaluation. If you experience any difficulties (or if you are not using a "forms-capable" browser), you may e-mail your response to the questions (highlight the entire form, go to "edit" in your browser, choose "copy" and then "paste" the form into your e-mail) to: info@garrison-law.com. OR click here, print the form, complete it and mail it to us at: Law Office of Edward Garrison, Attention "Injury Evaluation", 5411 IH 10 W, San Antonio, Texas 78201. Be sure to include your e-mail address and you will receive a response.


  • Please enter your full name:

    First Name:
    Middle Name:
    Last Name:



  • Please enter your home address: 

    Street Address:
    City:
    State:
    Zip Code:

  • Please enter your home telephone number (area code first): 

    Home Telephone Number:

  • *IMPORTANT: Please enter your correct e-mail address (eg., "your-id@domain.com"): 

    E-Mail Address:

  • Do you have an attorney representing you for this accident claim?

    Yes
    No


  • What date were you injured? 

    Injury Date:

  • Where were you injured (city, county, state, country)? 

    Injury Location:

  • Please describe how the accident happened.

    Accident Facts:


  • What type of accident did you have? (eg, motor vehicle, product injury, work related, pedestrian, slip and fall, premises, other...) 

    Type of Accident:

  • Describe your injuries:


  • Are you still receiving medical treatment for your injuries or do you have a medical appointment scheduled?

    Yes
    No


    NOTICE: Your responses will be sent over a non-secured link. It may be possible for someone not intended to view your responses. If you are concerned about privacy, please feel free to contact us by telephone at (210) 733-4291 to discuss your situation.

    Thank you for providing the information necessary for us to make a preliminary evaluation of your claim. You are under no obligation once you submit this information and it will be kept confidential when received by our office. Please submit the information by clicking on the SUBMIT button below. We will provide a response to your submission. This is a FREE service.

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