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Basics of Personal Injury

Basics of Personal Injury

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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The Law Office of
Frank A. Hauenschild

1938 E. Lincoln Hwy, Suite 208
New Lenox, IL 60451
Phone: 815.680.5045
Toll Free: 866.490.9164
Fax: 815.462.0172
Email Us
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The Law Office of Frank A. Hauenschild is located in New Lenox, Illinois, and serves clients throughout the South and Southwest Suburbs of Chicago in Will County, Cook County, and DuPage County, including Joliet, Frankfort, Mokena, Homer Glen, Lemont, Lockport, Romeoville, Plainfield, Bolingbrook, Orland Park, Tinley Park, Oak Lawn, Burbank, Bridgeview, Worth, Palos Heights, Oak Forest, Matteson, Park Forest, Steger, Peotone, Beecher and Manhattan.