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By submitting the form below, your inquiry will be emailed directly to:

Law Offices of Bruce A. Glotzer, P.A.
Boca Raton, FL.
Phone: 866-637-3347

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Please describe how you were injured.

Please describe your injuries.

Have you seen a doctor for treatment for your injuries?

Yes
No

Do you have the information of the other person or company involved in the accident?

If you were injured in an auto accident, do you have auto insurance?

Yes
No

Do you have health insurance, and if so, who are you insured with and what type of plan do you have?


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