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Personal Injury Practice Center

Personal Injury, General Contact Form

Name

Email Address

Phone Number

When were you injured?

How did the accident/injury happen?

Where did the event occur?

Was the accident/injury work-related?
Yes  No 

Were there any witnesses to the occurrence?
Yes  No 

Was an investigation conducted (police or otherwise)?
Yes  No 

Did you do anything to cause the accident?

Did you know any of the parties involved, prior to the accident?

When did you first receive medical care for your injury?

What was your diagnosis?

What treatment have you received?

How has your lifestyle changed as a result of the accident?

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Contact Us Contact Us
Kenney & Conley, P.C.
100 Grandview Road, Suite 218
Braintree, MA 02184
Telephone: 781.767.7353
Toll-Free: 866.433.9758
Fax: 781.843.4216
Email / Directions
American Association for Justice | Formerly the Association of Trial Lawyers of America(ATLA) Massachusetts Academy of Trial Lawyers National Safety Council | Proud Member NFPA Member