• Free legal consultation
• Do I Have A Case?
• Click to Call
• Local Offices
• Careers and employment opportunities

Client Information
Today‘s Date:
Name: *
Phone Number: * eg. (123) 456-7890
Email: *
Mailing Address: *
Relationship to Injured Party:
Facts of the Matter
Type of Case:
Date of Incident:
Location of Incident:
What Happened?:
Injuries:
Treatment
Amount of Medical Bills:
Were you hospitalized?:	YesNo
Released from Doctor‘s care?:	YesNo
Medical Providers
Name Providers:
Adverse Information
Adverse Party:
Adverse Insurance:
Adverse Name:
Did you give a recorded statement?	YesNo
Questions and Comments

• Home
• Areas of Practice
• Meet Our Team
• Law You Can Use
• Community Service
• Blog
• Testimonials
• Media Center
• Contact Us

DISCLAIMER: The choice of a lawyer is an important decision and should not be based solely upon advertisements.  This information is general in nature and may or may not apply to your situation.  The information contained on this website is not to be considered as legal advice.  Since no two cases are identical, we recommend that you contact an attorney in your jurisdiction or in the state in which the accident occurred to discuss specific facts of your case.  We make no representation as to a result or outcome of a case.  Past results afford no guarantee of future results.  Every case is different and just be judged on its own merits.  Clients may be responsible for cost expenses.  Attorney meetings by appointment only.  Principal office, Springfield, Missouri.  Neither the Supreme Court of Missouri nor the Missouri Bar reviews or approves certifying organizations or specialists designations.  Furthermore, since statutes and case law changes so frequently and due to information provided by other sources, we make no warranty or guarantee concerning the accuracy of the content of this or any other websites to which we link.  Aaron Sachs is the attorney responsible for the content of this website.  All attorneys are licensed in the State of Missouri.  Lynne Lamy is also licensed in the State of Kansas.  We are required to notify you of the possibility that an internet e-mail message could be randomly intercepted and disclosed by an otherwise disinterested person, as well as of the risk that the message could be intercepted by someone specifically interested in the matter which is the subject of this communication.  Use of this website does not establish an attorney/client relationship. *Principal office: Springfield, Missouri