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General Intake Form

At the Knapp & Roberts personal injury and wrongful death law firm, we take the time to get to know our clients, what happened, and how your life has changed.

If you have been seriously injured, or if a loved one has passed away due to negligence, tell us about it. We care … and we can help.

NOTE: An asterisk (*) indicates REQUIRED information. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

*Name:   
*Email Address:   
Phone:   
Date of Incident:   
 
Are you represented by another lawyer in this matter?
 Yes
 No
 
What is your injury?

Tell us the facts of what happened:

  • American Association For Justice
  • Million Dollar Advocates Forum
  • Arizona Trial Lawyers Association AzTLA
  • Pubic Justice America's Public Interest Law Firm

The Knapp & Roberts law firm represents victims of medical malpractice, surgical errors, and birth injuries throughout Arizona, including the communities of Phoenix, Tempe, Scottsdale, Chandler, Gilbert, Apache Junction, Peoria, Flagstaff, Mesa, Queen Creek, Goodyear, Glendale, Surprise, Tucson, and Yuma in the Valley of the Sun. If you are unable to travel and meet with us, we're prepared to travel throughout Maricopa County, Pinal County, Coconino County, Yuma County, and Gila County.