Useful Forms


Our office uses several forms that are absolutely imperative for accurately collecting information to pursue our clients' cases. Furthermore, there are several other forms used by our office during the course of your claim. The following are just a few of the forms that our office uses in each case which we handle.

Please note: Adobe Acrobat Reader is required to view and print these forms. Get it free here.

 
Client Interview Sheet (ClientInterview.pdf)
This form is completed on each and every case that our office handles. All of the information on this form is extremely important in the handling of our clients' cases. It is necessary that the Interview Sheet is completed in full, to the best of our clients' abilities so that our office has accurate information, not only about our clients' current case, but about background information regarding medical history, injury history and work history, that is vital during the course of pursuing the clients' claims.

 

Statement of Clients Rights (ClientsRights.pdf)
The Florida Bar requires this form to be given to each and every client that signs a contract with our office.

 

Authorization for Medical Information (MedicalRelease.pdf)
This form is necessary for our office to obtain the medical records of our clients. Frequently, additional authorizations will need to be signed since many medical providers require that the authorization be dated within six (6) months of the request for information.

 

Authorization for General Information (GeneralInformation.pdf)
Again, this form is necessary for our office to obtain other types of records, including work records, school records, military records, and other non-medical records.

 

Checklist of Things to Do (Checklistofthingstodo.pdf)
This form provides information for our clients of things to do after they are involved in an accident where they have sustained injuries. Not only will the checklist ensure that our office gets all the information needed from the clients, but it helps our clients do things that will help in the pursuit of their claims.