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Brad Bradshaw
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Confirm the type of case causing your injuries
What type of injury is your case?

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Where did this occur/happen?

Who was the person injured?
~Who~ was the person injured?*
Your Name*
Your Name*
Name of Injured Person*

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Did the injury involve any of the following?
Did the ~injury~ involve any of the following?*

Name of at-fault medical-provider/entity if you know

Name of hospital/clinic/facility where incident occurred

Whose baby was injured?
Whose baby was injured?*
Your Name*
Your Name*
Name of injured baby's mom/parent*
Name of injured baby's mom/parent

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Did the injury result in any of the following?
Untitled*

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Did your baby require or have any of the following...
Untitled*

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Did the injury result in any of the following?
Did the injury result in any of the following?

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Did the injury result in any of the following?
Did the injury ~result~ in any of the following?
How long was the delay in diagnosis?

Did this happen in the last 180 days?
Did this happen in the last 180 days?

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When did the injury happen?
If you cannot remember what month or year, please call our office (888)775-000

When did the birth occur?
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When did the wrongful death happen?
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How did the wrongful death happen?

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In summary, how did the wreck happen?

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What went wrong, if you have an idea or anyone told you?

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How did the injury happen?

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Please describe the injury.

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What type of product caused the injury?

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How do you believe the product was defective or unreasonably dangerous?

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Do you know the name of the at-fault semi-truck company?

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Body of water was involved in the injury? (Name of lake, river, bay, etc.)

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Type of watercraft(s) was involved in the injury?

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Tell us about those involved...

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A citation/ticket was issued to...
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Please provide the employer information.
Address
Employer Address & State

Was the employer notified of the injury?
Was the employer notified of the injury?

Is employer/employer-insurance paying for medical care?
Is employer/employer-insurance paying for medical care?

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Has the injury resulted in...
Has the injury resulted in...

Tell us about the birth...
Was this your first child?
Was this your first child?
How many weeks along was the pregnancy at birth, best estimate?
How many weeks along was the pregnancy at birth, best estimate?
What was the baby’s birth weight, best estimate?

Deceased Information

Deceased First & Last Name
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201 W. 47th Street
Kansas City, Missouri 64112

Springfield Headquarters

1736 E. Sunshine, Suite 600
Springfield, Missouri 65804

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Webster Grove, Missouri 63119

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Seattle, Washington 98101

Disclaimer

Services may not be available in all states. Past results afford no guarantee of future results and every case is different and must be judged on its own merits. Early settlement fee of 25% in some car wreck negligence and some semi-truck negligence cases only, depends upon the facts of the case, including timing of settlement and is effective 1/1/2016. Lower fees refers to the 25% or lower fee, bigger settlements refers to obtaining bigger settlements than many TV advertising lawyers, and other injury lawyers, compared to Brad Bradshaw MD JD LC, both of which (alone or in combination) can put more net recovery in some clients pockets. Verdicts may be reduced by appeal or comparative fault. Client may be responsible for costs or expenses. Meetings with lawyers will be by appointment only. Working with and referring cases to other attorneys. The choice of a lawyer is an important decision and should not be based solely upon advertisements.

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