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Personal Injury, General Contact Form

If you have lost a family member or suffered injuries as a result of another person's negligence or misconduct, working with an attorney who has exemplary legal skills can help you to achieve the favorable verdict or settlement to which you are entitled. To find out how our firm can work with you to address your immediate needs, contact us to schedule a consultation and case evaluation with an experienced personal injury attorney.

San Francisco and Santa Rosa Personal Injury Lawyers

At the law firm of Shapiro, Galvin, Shapiro & Moran in Santa Rosa, California, our attorneys know that your life has been turned upside down after a car accident or construction accident. We expect that you will have questions when you come to us. Questions about how to pay for medical care and how to cope with long-term disability issues related to a hip fracture We're ready to answer those questions.

For a free consultation about your case, contact us today. To learn more about personal injury law in general, see the content presented on this Web page.

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Personal Injury, General Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

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:

Shapiro Galvin Shapiro & Moran
640 3rd Street, 2nd Floor
Santa Rosa, CA 95404-4418

Phone: 707-544-5858
Fax: 707-544-6702
Santa Rosa Law Office