Please fill out the form as completely at possible to allow the attorneys at Beckett and Hensley to assist you in evaluating the merits of your case.

Type of Claim:

Nursing Home Victim
Motor Vehicle Accident
Wrongful Death
Medical Malpractice
Slip and Fall
Personal Injury

Your Name (Required)
Your E-Mail Address
Street Address / City / State / Zip
Daytime Telephone Number With Area Code (Required)
Cellular or Mobile Number
FAX Number
What time of day is best to reach you?
What method(s) do you prefer us to use when contacting you?
Daytime Phone Cellular or Mobile Phone FAX

There is no charge for this evaluation. Please complete the following in as much detail as possible.

Date of Injury
City and state where accident occurred
Name of company, institution, or nursing home where accident occurred
What injuries did you suffer? Please describe.
Names of doctors and hospitals providing treatment

YES    NO  I agree that this matter may be referred to an attorney in my area who may contact me.

 YES   I understand that I am not forming a formal attorney/client relationship.

 

HOME | PROFILES | IN THE NEWS | CONTACT US

Beckett & Hensley, 911 Main Street, Commerce Tower, Suite 610, Kansas City, MO 64105
Phone: 816-471-7500 FAX: 816-471-2978

©2003, Beckett & Hensley, L.C. All Rights Reserved.

The lawyers at Beckett & Hensley are providing this web site for informational purposes only. The materials on the web site are not intended to be legal advice and should not be relied upon or used without consulting a lawyer to consider your specific circumstances. Use of this web site, including the sending of an e-mail to one of the attorneys, does not establish an attorney-client relationship. If you want us to represent you, contact one of our attorneys directly.

Your communication with us through this web site will not be considered as privileged or confidential. We may have a conflict that prevents us from representing you or from treating your communications as confidential. We suggest that you contact us by telephone or personal visit to ensure the confidentiality of your communication.

Please fill out the form as completely at possible to allow the attorneys at Beckett and Hensley to assist you in evaluating the merits of your case.

Type of Claim:

Construction Law
Real Estate Law
Contract Law
Business Matters
Employment Law
Other

Your Name (Required)
Your E-Mail Address
Street Address / City / State / Zip
Daytime Telephone Number With Area Code (Required)
Cellular or Mobile Number
FAX Number
What time of day is best to reach you?
What method(s) do you prefer us to use when contacting you?
Daytime Phone Cellular or Mobile Phone FAX

There is no charge for this evaluation.

Please enter your question or description of your case in the box below.


YES    NO  I agree that this matter may be referred to an attorney in my area who may contact me.

 YES   I understand that I am not forming a formal attorney/client relationship.

 

HOME | PROFILES | IN THE NEWS | CONTACT US

Beckett & Hensley, 911 Main Street, Commerce Tower, Suite 610, Kansas City, MO 64105
Phone: 816-471-7500 FAX: 816-471-2978

©2003, Beckett & Hensley, L.C. All Rights Reserved.

The lawyers at Beckett & Hensley are providing this web site for informational purposes only. The materials on the web site are not intended to be legal advice and should not be relied upon or used without consulting a lawyer to consider your specific circumstances. Use of this web site, including the sending of an e-mail to one of the attorneys, does not establish an attorney-client relationship. If you want us to represent you, contact one of our attorneys directly.

Your communication with us through this web site will not be considered as privileged or confidential. We may have a conflict that prevents us from representing you or from treating your communications as confidential. We suggest that you contact us by telephone or personal visit to ensure the confidentiality of your communication.