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Accident News
(800) 892-5044

Contact Us - Personal Injury Evaluation

Barry & Loewy LLP encourages prospective clients and referring counsel to contact us for a FREE initial consultation about the specifics of your case.

You may contact us by phone at (800) 892-5044, or by email at info@barryloewy.com. You may also contact us by filling out the electronic Questionnaire below.
 
First Name: *
Last Name: *
Street Address:
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Is an attorney currently representing you in this matter? Yes No
How did you hear about us?
 
Accident Information
Date of accident:
Time of accident:
Type of accident:
Location of accident (include city, state and specific street names, if possible)
What caused the accident?
What were the circumstances of the accident?
What are your injuries?
Were you hospitalized for your injuries? Yes No
If you have injuries, do they prevent you from working? Yes No
     If yes:  
     When did you stop
     working?
     How much income have
     you lost as a result of the
     accident and your injuries?
     What are your medical
     expenses to date?
Do you have a copy of the police report? Yes No
Any other information you feel is valuable to your case:
  Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure. Submitting this form does not create an attorney-client relationship.
 
© Barry & Loewy LLP, Copyright 2008. All rights reserved.
Unless otherwise noted in website - Not certified by Texas Board of Legal Specialization.
Serving Austin, Travis County, Houston, Harris County, Round Rock, Sunset Valley, Camp Mabry, San Antonio and the entire state of Texas.
Practicing in Personal Injury, Wrongful Death, Truck Accidents, Tractor Trailer Wrecks, 18 Wheeler Collisions, Semi Truck Crashes, Motorcycle Accidents, Boating Accidents, Drunk Driving Accidents, Mesothelioma, Benzene, Sexual Abuse, Refinery Accidents, Business Litigation, Pharmaceutical Drugs, Medical Devices, Guidant Defibrillators, Product Liability.
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