Auto Accident & No-Fault

No-Fault Intake Form

Injured in an accident? Complete this form to begin your no-fault treatment

Auto Accident — No-Fault Coverage

No-Fault Intake Form

If you were injured in an auto accident and are seeking treatment under no-fault insurance, please complete this form. We work with no-fault cases and will help coordinate your care. Call us at (631) 615-5000 with any questions.

We’re Here to Help You Recover

Call (631) 615-5000 to speak with our team about your no-fault case and get started.

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