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Catastrophic Injuries Information Center

Catastrophic Injuries Contact Form

Name

Email Address

Phone Number

How were you injured?

Who do you believe caused your injuries?

What are your injuries?

What body functioning has been impaired?

What activities are you precluded from doing because of your injuries?

What medical devices do you use to assist you?

Do any health care professionals provide you treatment in your home?

Does anyone assist you with your daily living needs?

Do you ever leave your home? How?

Has your health care insurance or medicaid/medicare paid your medical bills?

Have you altered your home in order to conduct your daily living activities? In what way(s)?

Have you received any assistance in performing your daily activities from family members? Have they been paid? Do they expect to be paid? How much?

Have your physicians told you how long you will be disabled?

Have you received any psychological care as a result of the accident?

Were you employed at the time of the accident?
Yes  No 

Did the accident happen while you were working?

Will you ever be able to return to the same type of employment?

Will you ever be able to return to restricted employment?

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The Hudson Valley Law Firm of Ostrer Rosenwasser, LLP, represents clients with personal injury, civil and criminal litigation, matrimonial law issues, in both New York State, and Federal Courts including Chester, Montgomery, Newburgh, Middletown, Kingston, Ellenville, Monticello, Poughkeepsie, Goshen, New City, Wurtsboro, New Platz, Ulster County, Sullivan County, Rockland County, Dutchess County and Orange County, NY.

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Ostrer Rosenwasser, LLP
Hudson Valley
Law Attorneys

P.O. Box 509
111 Main Street
Chester, New York 10918
Telephone: (845) 469-7577
Toll Free: (877) 469-7577
Fax: (845) 469-8690

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P.O. Box 69
201 Ward Street
Montgomery, New York 12549
Telephone: (845) 457-4646
Fax: (845) 457-9007

Email Us | Map & Directions