Lawyer Client Intake Questionnaire for Medical Malpractice Claim

This Client Intake Questionnaire allows lawyers to collect the information they need from a client to launch a medical malpractice claim.

• The 15-page form contains numerous sections for information gathering, including:
  
  • personal details about the client, spouse/partner and children,
  • employment background,
  • the details of the alleged malpractice and the injury resulting from it,
  • potential witnesses,
  • statements or comments from other medical practitioners,
  • medical expenses and other related costs,
  • past medical history,
  • criminal record,
  • client expectations.
• Available in MS Word format and fully editable to fit your exact needs.