Law Offices
Dean & Barrett
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457 South 10th Street, P.O. Box 231, Opelika, Alabama 36803-0231, Telephone: 334-749-2222, Fax: 334-749-5857
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Over 50 years of combined experience.
Do I have a Case?

If you would like to meet to discuss a potential personal injury case, please complete this form or call Dean & Barrett (334) 749-2222. Please be as complete and accurate as possible.

CONTACT INFORMATION

NOTE:  An Asterisk (*) Indicates REQUIRED Information.

*Full Name:

 

Home Address:

City:

State:

Zip:

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*E-mail Address:

Are you writing on your own behalf or for someone else?
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If you are writing for someone else, how are you related or connected to that person?

Please describe how you or the person for whom you are writing was injured. Include where and when the incident occurred and how many people were involved.

What injuries were sustained?

Have you received any medical care yet? (See your family physician)
Yes No  

Did the accident occur at work?
Yes No  

How do you prefer to be contacted?
Telephone E-mail 

When is the best time to reach you?

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Welcome | Firm History | Practice Overview | Meet the Attorneys | Contact Us | Personal Injury Newsletter | Do I have a Case?


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