Confidential Free Consultation Form

Chad Davis and his team at the Chad Davis Law are personal injury law specialists.

Please Complete Our Confidential Questionaire to Book Your Free Consultation with Chad Davis

I will personally make sure you are satisfied throughout the entire process.

Allow me to guide you through the legal intricacies, ensuring you receive the compensation you rightfully deserve. Your well-being is our priority, and we are committed to relentlessly pursuing justice on your behalf.

For professional service from a local Texan resident.

Your Name *

First

Last

Date of Loss? When did the injury happen? *

Phone Number *

Email *

Address

City/State ZIp

Date of Birth. What date is your Birthday? *

Social Security Number

Drivers License Number

Referred By. How did you find us?

Secondary Contact Person

Ie Name, relationship, phone, email, address

Detailed Description of the Injury

Describe how the injury occurred

Location/Time/Condition/Surroundings

Important information regarding the scene of the injury

Police Report

Police Report was Created and is Favorable
Police Report was Created and is UnfavorableSecond Choice
ThiNo Police Report was Createdd Choice

Pictures

I have pictures
I do not have pictures

Witness Information

Responsible Party Information

Contact info for the person who caused your injury

Responsible Party's Insurance

Insurance Info for the person who caused your injury

First Party Insurance

Your own insurance information

Detailed Description of your Injuries

Tell me what hurts or what your diagnosis was

Lost Wages

I have lost wages due to my injury
I don't have lost wages due to my injury

All Medical Providers Seen for Injury

Any doctor or medical provider that you saw so far (include hospitals/emergency services)

Health Insurance Information

What health insurance do you have?

Personal Care Physician/Prior Claims/Unrelated Medical History

Please describe your medical condition prior and unrelated to the subject injury. Please include whether any unrelated condition was aggravated by the subject injury.

Any other information you want to include about you or your claimMedical History (copy)

Please feel free to write down anything else that you feel I should know about you or our claim so I can try to help you better

Chad Davis Law Personal Injury Lawyer SMS Consent

I agree to receive text messages from Chad Davis Law for case updates. The frequency of these text messages will vary and can range from multiple days a week to once a month. MESSAGES AND DATA RATES MAY APPLY. If you wish to opt-out you can reply ‘STOP’ to cancel. For assistance you can reply ‘HELP’ and we will call you

Chad Davis Law has a streamlined onboarding process for new clients into our case management system while ensuring we obtain proper consent along the way. Typically, clients initiate contact with our firm through various channels, such as calling our office, submitting an inquiry form on our website, or visiting us in person. During the initial contact, we gather basic information about the potential case and provide a clear explanation of our services and the nature of the attorney-client relationship. Our commitment to maintaining compliance and client confidentiality is at the core of our client onboarding process.

Our privacy policy is available on our website here with the following SMS disclosure:

SMS DISCLOSURE: We will not share mobile contact information with third parties or affiliates for marketing or promotional purposes. Information sharing to subcontractors in support services, such as customer service, is permitted. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. If you are receiving text messages from us and wish to stop receiving them, simply reply with ‘STOP’ to the number from which you received the message.

Potential clients can contact us on our website at https://chaddavislaw.com where they can opt-in by selecting the checkbox for, “I agree to receive text messages from Chad Davis Law for case updates. The frequency of these text messages will vary and can range from multiple days a week to once a month. MESSSAGES AND DATA RATES MAY APPLY. If you wish to opt-out you can reply ‘STOP’ to cancel. For assistance you can reply ‘HELP’ and we will call you.

Chad Davis Law. Friendly Personal Injury Lawyers in Dallas.