Personal Injury Information

Personal Injury, General Contact Form

Name

Email Address

Phone Number

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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seal of New Jersey State Supreme Court Certified Attorney

2009 Edition New Jersey Premises Liability by Dennis A. Drazin

Dennis A. Drazin, Christopher Brown and John R. Connelly Jr. have been
Certified by the Supreme Court of NJ as Certified Civil Trial Attorneys

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The personal injury law offices of Drazin and Warshaw P.C., in Red Bank, New Jersey, provides legal advice and representation for victims of negligence and misconduct living in communities throughout the Jersey Shore and Bayshore regions. Communities served include Monmouth County communities of Adelphia, Asbury Park, Allaire, Allenhurst, Atlantic Highlands, Avon by the Sea, Belmar, Bradley Beach, Brielle, Cliffwood Beach, Colts Neck, Deal, Eatontown, Englishtown, Fair Haven, Fort Monmouth, Freehold, Hazlet, Keansburg, Keyport, Little Silver, Long Branch, Manalapan, Marlboro, Matawan, Middletown, Morganville, Neptune, Oakhurst, Ocean Grove, Oceanport, Ocean Township, Port Monmouth, Red Bank, Rumson, Sea Bright, Sea Girt, Shrewsbury, Spring Lake and Tinton Falls. Ocean County communities served included Bay Head, Brick, Point Pleasant, Mantoloking, Seaside Heights, Seaside Park, and Toms River. In Middlesex County, we serve the communities of Carteret, East Brunswick, Edison, New Brunswick, Old Bridge, Perth Amboy, Piscataway, Point Pleasant, Sayreville, South Amboy, South Plainfield, Woodbridge and Wycoff Hills.

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