Personal Injury Claim Check

Carroll & O’Dea Lawyers are here to help you and be by your side when it matters.
To get us started, our Personal Injury Claim Check Form takes approximately 60 seconds or less to complete. This will assist us in assessing whether you might have a claim and how we can help you, if you decide to engage us as your lawyer.
By completing this form you accept the terms of our Privacy Policy.

Thank you for submitting the Personal Injury Claim Check Form. One of our experts will be in touch to discuss your potential claim further.

Step 1

What type of injury / accident were you or a family member involved in:

I was injured at work

I was in a motor vehicle accident

I was injured in a public place

I was injured due to medical negligence

Liability limited by a scheme approved under Professional Standards Legislation.

Step 2

Where did your accident happen?

New South Wales

Australian Capital Territory

Victoria

Northern Territory

Queensland

South Australia

Tasmania

Western Australia

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Step 3

When did your accident occur?

Less than a month ago

1 to 6 months ago

6 to 12 months ago

1 to 3 years ago

Over 3 years ago

If you know the exact date, please enter here
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Step 3B

Please answer below questions:

Name of the hospital and/or medical professional who treated you?

Place of Accident?

Was it reported to the premises?

Name of your employer?

Name of hospital and/or medical professional who treated you?

Insurer’s name?

Was it reported to the police?

Were you considered at fault?

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Step 5

Please tick if you have had medical treatment including:

Accident and emergency visit

Specialist appointments

Hospitalisation

Surgery

Physiotherapy

X-rays and scans

Prescribed medication

Other

Psychology

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Step 6

Thank you for completing your Personal Injury Claim Check.

We will be contacting you shortly to discuss your potential claim.

Please enter your contact details to arrange an obligation free initial consultation with our Personal Injury experts.

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