Please fill out the following form to update us on your current physical condition and medical treatment. All information you provide is sent directly to your attorney and is protected by the attorney-client privilege.
If you would prefer to fill out a hard copy of this form, or would like additional copies of this form, please call our office.
If you have medical bills that you have not submitted to us yet you can send them via Email or Fax to the addresses below, or give us a call and we’ll be happy to assist you!
Fax: (818) 344-8007
Office Phone: (818) 708-7894