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Personal Injury Intake Form

At SeifertMiller, we care about your legal needs and are always committed to making sure that the specifics of your situation are handled with professionalism, compassion, and the highest degree of integrity right from the very beginning. Your questions deserve answers and you deserve to be heard. For a free consultation with one of our attorneys, please complete and submit the following Personal Injury Intake Form. A SeifertMiller attorney will review your submission and will be in touch with you right away.



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The hiring of an attorney is an important decision that should not be based solely on advertising. Before you decide, ask us to send free written information about our qualifications and experience.