Client Forms
Securely complete your intake and medical release forms online. Each form opens in DocuSign and is encrypted and confidential.
Intake Forms
New client? Complete the intake form that fits your case and we will follow up promptly.
Personal Injury Intake
Start your personal injury claim in Tennessee. Tell us what happened so we can review your case.
- A government-issued photo ID (driver's license or state ID)
- The date and location of your accident or injury
- Your auto and/or health insurance information
- Names of any doctors or hospitals that treated you
Personal Injury Intake (Arkansas)
Begin your Arkansas personal injury claim with our secure online intake form.
- A government-issued photo ID (driver's license or state ID)
- The date and location of your accident or injury
- Your auto and/or health insurance information
- Names of any doctors or hospitals that treated you
Criminal Intake
Share the details of your criminal matter so we can prepare for your consultation.
- A government-issued photo ID (driver's license or state ID)
- The date of your arrest or the incident
- Your charge(s) and court date, if you have them
- Any case, citation, or booking number you were given
Hospital Medical Release Forms
Authorize release of your medical records so we can build the strongest case. Choose your hospital network below.
Regional One Health
Authorize release of your medical records from Regional One Health.
- A government-issued photo ID (driver's license or state ID)
- Your date of birth and the patient's full legal name
- The approximate dates you were treated at this hospital
- Your medical record or account number, if you have it
Baptist Memorial
Authorize release of your medical records from Baptist Memorial Health Care.
- A government-issued photo ID (driver's license or state ID)
- Your date of birth and the patient's full legal name
- The approximate dates you were treated at this hospital
- Your medical record or account number, if you have it
Saint Francis
Authorize release of your medical records from Saint Francis Hospital.
- A government-issued photo ID (driver's license or state ID)
- Your date of birth and the patient's full legal name
- The approximate dates you were treated at this hospital
- Your medical record or account number, if you have it
Methodist
Authorize release of your medical records from Methodist Le Bonheur Healthcare.
- A government-issued photo ID (driver's license or state ID)
- Your date of birth and the patient's full legal name
- The approximate dates you were treated at this hospital
- Your medical record or account number, if you have it
Forms are handled securely through DocuSign. Need help? Call 901-331-1816.
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