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Personal Injury, General Contact Form

The timely, cost-effective resolution of injury claims often calls for an attorney who is experienced in handling personal injury matters and dedicated to providing personal service. Contact our firm today to schedule a consultation and case evaluation with an experienced personal injury attorney.

Northern New Jersey Certified Trial Lawyers

After an accident that has resulted in a personal injury, the first order of business is to take every step possible to ensure that the injured person's recovery is maximized. Next on the list of priorities is the legal arena of liability, injury claims and insurance policies. An experienced personal injury attorney is an invaluable asset in today's climate of denied claims and delayed payment of benefits.

Contact us to schedule a free initial consultation following a car accident, truck accident or pedestrian accident. Do you believe you were you injured as a result of someone else's negligence? We are prepared to aggressively advocate on your behalf up to and including going to trial if necessary.

Thank you for contacting Goldstein, Ballen, O’Rourke & Wildstein. Your message has been sent.

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Personal Injury Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

When were you injured?

How did the accident/injury happen?

Where did the event occur?

Was the accident/injury work-related?
Yes  No 

Were there any witnesses to the occurrence?
Yes  No 

Was an investigation conducted (police or otherwise)?
Yes  No 

Did you do anything to cause the accident?

Did you know any of the parties involved, prior to the accident?

When did you first receive medical care for your injury?

What was your diagnosis?

What treatment have you received?

How has your lifestyle changed as a result of the accident?

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GOLDSTEIN, BALLEN, O'ROURKE & WILDSTEIN
Passaic Lawyers Building, One Howe AvenuePassaic, NJ 07055
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Private Off Street Parking (Private lot at the corner of Howe Avenue & Garden Street, Passaic, NJ)

Phone: 973-928-0899 • Toll Free: 888-868-1830
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