The Law Offices of Morton J. Shuman, P.C.

We want to hear about your case.

Home
About
- Morton J. Shuman
- Scott Winer
Personal Injury Cases
Testimonials
Blog
Contact
- Accident History Questionnaire
- Ask Your Attorney

Free case evaluation!

Accident History Questionnaire

Accident History Questionnaire

Fill Out the Form

Questionnaire Form

First Name

Last Name

Phone

Email

Free Text

Accident History

Date of Accident

Time of Accident

City

State

Weather Conditions at Time of Accident

Clear

Foggy

Raining

Snowing

Exact Location

Accident Description

Was this accident work related?

Yes

No

Free Text

Treatment Following the Injury/Condition

IMMEDIATELY following the accident/injury, did you receive any medical treatment?

Yes

No

Where did you receive treatment IMMEDIATELY following the accident/injury?

Company Doctor

Emergency Room

Chiropractor

Family Doctor

Walk-In Clinic

Other

Were you admitted to a hospital?

Yes

No

What type of treatment did you receive?

Surgery

Physical Therapy

Chiropractic

Other

Additional Comments

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

The Law offices of Morton J Shuman P.C.

Falamos portuguese! Hablamos español!

We want to hear about your case.

Free case evaluation!

Location & Directions

855 Worcester Rd 2nd Floor Framingham, MA 01701

Exterior of office building.

Contact Info

Phone: (508) 879-4040 or (800) 353-4080

Fax: (508) 879-4080

Email: mshuman@mortonjshumanlaw.com

Live Answering Service: Available 24/7

Office Hours: Mon — Fri: 8:30 AM - 07:00 PM

Saturdays by appointment

Accident History Questionnaire

Personal Injury Law

Motor Vehicle Accidents
Workers' Comp
Slip and Fall
Construction Site Accidents
Social Security Disability
Dog Bites

Gold seal: Workers' Injury Law & Advocacy Group recognizes Morton J. Sharman, J.D. as a top injured workers' attorney; 2025.

Plaque for Morton J Shuman, P.C. Attorney At Law, Framingham, MA,

Terms and Conditions | Privacy Policy

© 2026

The Law Offices of Morton J. Shuman, P.C.

Share by: