Consultation Form

For a free, no-obligation consultation with an experienced Atlanta personal injury attorney at Grant Law Office regarding your case, please submit the following response form. We will respect the confidentiality of your information to the fullest extent. Form submissions are relayed to us through our highly secure servers.

Tell us who you are and how we can contact you. Note: This information is strictly confidential and will not be communicated with anyone. It is necessary only for purposes of enabling us to do a conflict of interest check prior to responding to you. We cannot respond without being able to do our conflict check. Fields with a * are required.

* First Name

* Last Name

Number, Street & Apt.

City

State

Zip

* Email

Day Phone

Night Phone

Please provide a brief personal background of the person needing assistance. Many times we are contacted by someone other than the person in need of help, such as a parent on behalf of a child, or wife on behalf of a husband. Please provide the following information on behalf of the person who needs assistance.

The following information is for myself:   Yes   No

If "No" my relationship to the following person is:

First Name

Last Name

Age

Occupation

For how long

Current or last employed

City and State where last employed

Highest grade completed

Schools/College attended

Degrees

Year degree granted

Special training or experience in

Why do you need help? Please provide us with a very brief overview, in 200 words or less, describing in general the subject matter of your request. You can provide more detailed information below, but for now please confine yourself to providing us with a brief statement of the general facts of your case, injury and damages.

State the date you were injured or when you first learned that you had been injured?

What occurred?

Where did it happen? Please type in the City, County and State where it happened:

City

State

County

Who caused the harm? Please type in the names & addresses of all the wrongdoers involved:

What damages were suffered? Describe the damage you have suffered:

Has anyone already filed a suit?  Yes   No

When is the best time to reach you by telephone?

When the information you have provided is complete, please press the Submit button below to send it to Grant Law Office . Your information will be kept strictly confidential.

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$12,500,000
Wrongful Death Involving Child

$5,000,000
Failure to Treat Case

$3,000,000
Failure to Diagnose Case

$2,200,000
Hospital Malpractice Case

$1,250,000
Failure to Respond to Medical Emergency Case

Adam Shea

View Informative Legal Videos prepared by our firm:

Live Oak Square
3475 Lenox Road, N.E., Suite 740, Atlanta, GA 30326
Toll-free number: (866) 249-5513
Phone: (404) 995-3955
Fax: (404) 995-3950

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Disclaimer: The legal information offered herein by Grant Law Office, is not formal legal advice, nor is it the formation of an attorney client relationship. In order for our firm to be considered your attorney there must be a signed agreement between the client and the firm. Any results set forth herein are based solely upon the circumstances of that particular case and offer no promise or guarantee on the outcome of any other case. Please contact a lawyer for a consultation.

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