Intake Forms

Client intake forms.

Getting started is simple. Choose the form that matches your situation and complete it at your own pace — everything you submit is confidential and used solely to evaluate your claim. Not sure where to begin? Call us and we'll point you to the right form. Se habla español.

§ 01 — Available forms
Form 01
SIBTF Intake Form

For workers with a work-related injury on top of a prior disability or condition. Guides you step by step through your history, injury, and current care.

8 steps · Confidential
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Form 01 · ES
Formulario SIBTF

La versión en español del formulario de admisión SIBTF. Complete su historial, lesión y atención actual paso a paso.

● En español · 8 pasos
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Not sure?
Free consultation

Prefer to talk first, or unsure which form applies to your case? Send us a message or call and we'll help you get started.

No cost · No obligation
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Free Consultation · Se Habla Español

Call 714-279-8055 or send a message. Your information stays confidential, and there's no fee unless your claim is resolved.

Call 714-279-8055 → Send a message