san bernardino injury lawyer, medical malpractice

TELEPHONE:

MONDAY - FRIDAY*
8:00 a.m. - 5:00 p.m.

*Our offices are closed for
most major holidays

OFFICE: (909) 884-6451

FAX: (909) 884-8032

E-Mail:

PLEASE COMPLETE & SUBMIT
THIS FORM.

A member of our staff will be
contacting you shortly.

Name:
Telephone Number:
Alternate Telephone Number:
Best Time to Contact You:
How Were You Referred:
Date of Incident or Accident:
Brief Description of Case:
Email Address:
May We Contact You By Email:	YES NO
DISCLAIMER:	THE SUBMISSION OF THIS E-MAIL FORM IS FOR PROSPECTIVE CLIENTS TO INITIATE CONTACT WITH THE OFFICES OF SANFORD A. KASSEL, A PROFESSIONAL LAW CORPORATION, FOR PURPOSES OF EVALUATING THE MERITS OF ANY POSSIBLE LEGAL CASE. THE SUBMISSION OF THIS FORM DOES NOT CONSTITUTE THE EXISTENCE OF AN ATTORNEY-CLIENT RELATIONSHIP BETWEEN THE OFFICES OF SANFORD A. KASSEL, A PROFESSIONAL LAW CORPORATION, AND THE READER.
ACKNOWLEDGMENT:	I HAVE READ & UNDERSTAND THE ABOVE-NOTED DISCLAIMER

Información en
español

Por favor llame a nuestra oficina
en (909) 884-6451, para la información en español

334 W. Third Street, Suite 207, San Bernardino, CA 92401

(909) 884-6451