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Name: Joe D. Floyd, PA Law Firm
Telephone: (336) 886-5031

If you’ve been injured in an auto or motorcycle accident, or at work, you’re not alone. Let attorney Kimberly H. Floyd fight for you. Serving High Point, NC, and the Piedmont Triad area, there’s no better attorney to ensure your claim is accepted and you receive the benefits you deserve. Call or email the P.I. Intake Form below to schedule your free consultation today!

Contact Information

Kimberly H. Floyd, Attorney
Joe D. Floyd, PA Law Firm
337 S Main St.
High Point, NC 27260
(336) 886-5031

Office Hours

Monday-Friday 9:00 AM - 5:00 PM

Areas served

High Point, Thomasville, Asheboro, Jamestown, Kernersville, Greensboro. Entire Piedmont Triad Area.

Send a message or question

All Required Fields

Personal Injury Case Intake Form

Please fill in the form below to submit your information to attorney Kim Floyd

Name

Date of Birth

Address

Phone

Date of Accident

City

County

State

Do you have a copy of the accident report?

YesNo

Were you charged with anything?

YesNo

How many vehicles were involved?

Was it the other person's fault?

YesNo

What were they charged with?

Other person's insurance co/adjuster

Have you talked to their insurance company?

YesNo

Whose Car were you driving?

Name of your insurance company

Ambulance

YesNo

Hospital

YesNo

X-Rays

YesNo

Other

Currently treating?

YesNo

With who?

Health insurance info (Medicaid/Medicare/Insurance)

Brief description of the accident

All Required Fields

*Completion and submission of this form does not constitute legal representation.

(PLEASE BRING ACCIDENT REPORT, BILLS, VEHICLE AND MEDICAL INSURANCE INFO WITH YOU)

Kimberly H. Floyd, Attorney
Joe D. Floyd, PA Law Firm
337 S Main St.
High Point, NC 27260
(336) 886-5031
kim@kimfloydlaw.com

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