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HKQ PA Personal Injury Contact Form

Use the CONFIDENTIAL form below for a consultation of your PA Personal Injury legal needs. Submission of this form does not constitute an attorney-client relationship between you and the firm. One of our PA Personal Injury legal specialists will follow up by phone or email.

Note: Fields marked by an asterisk (*) must be completed.

*First Name:
A value is required.
*Last Name:
A value is required.
Street Address:
*City:
A value is required.
State:
Zip:
*Daytime Phone:
A value is required.
*Evening Phone:
A value is required.
*E-Mail Address:
A value is required.
*Age of Person Involved:
A value is required.
*Do your legal needs involve:

Auto Accident
Truck Accident
Medical Malpractice
Aviation Accident
Unsafe or Defective Vehicle
Dangerous or Defective Product
Construction Site Accident
Claim Denials by Insurance Companies
Injury Due to Medication
Injury Due to Defective Childrens Products
Nursing Home Abuse or Neglect
Fall Due to Unsafe Conditions
Other

*Date of Accident/Injury:
A value is required.
List All Possible People/Parties
Responsible for Injury

*1.

A value is required.

  2.

  3.

How did you find the HKQ Website?

Please read this carefully before you email any information to Hourigan, Kluger & Quinn, P.C. Please do not use this link to send our law firm confidential details of your PA Personal Injury legal problems, especially if you are not already a client of Hourigan, Kluger & Quinn, P.C. Before we can consider representing or advising you, we must first determine that we have no conflict of interest involving other clients, and we must also agree on terms of an engagement. Communications before then may not be privileged or confidential, and may be disclosed to third persons. We prefer not to receive any information with respect to your case without first learning from you the names of the anticipated adverse parties so that we may conduct an internal conflicts of interest check.