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ACCIDENT INJURY VICTIMS
DOCTORS
ABOUT

SoCal Cares

Medical care, legal help and cash donations for Accident Injury Victims

Medical care, legal help and cash donations for Accident Injury VictimsMedical care, legal help and cash donations for Accident Injury Victims

ACCIDENT INJURY VICTIMS

OUR PROCESS

#1 ACCIDENT injury VICTIMS OR THEIR FAMILY MEMBERS COMPLETE THE accident victim intake FORM.

#2 OUR MEMBERS REVIEW THE ACCIDENT DETAILS AND attachments on the intake form below.

#3 WE VERIFY that THE INFORMATION PROVIDED in the intake form below (POLICE REPORT ETC.) IS VALId.

#4 WE CONTACT THE ACCIDENT injury VICTIM OR THEIR FAMILY MEMBER(S) TO DISCUSS THEIR SITUATION.

#5 WE connect accident injury victims with doctors, lawyers, and manage cash donation campaigns.

Accident Victim Intake Form

ARE YOU An ACCIDENT injury victim?

First & Last Name of ACCIDENT VICTIM*

First and last name of person completing this intake form*

Phone number*

Email*

Were you hit by someone WITHOUT insurance?*

Do you have Uninsured Motorist or Underinsured Motorist Insurance Coverage? (UM/UIM)*

Date of your accident?*

Have you seen a doctor or chiropractor?*

WERE YOU INJURED? *

Attach Police Report

Attachments (0)

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SoCal Cares

Serving Southern California

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