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

Buxbaum, Daue and Fitzpatrick Law Office
228 West Main Street, Suite A
Missoula, MT 59801
Phone: 406-351-0027

What is the date of the injury in question?

Where and how did the injury occur?

If this involves medical error, where did the care take place and who is physician / health care provider in question?

If this is an auto or other injury, who is the adverse party/driver?

What is the extent of your injuries and are they ongoing?

Do you or any of the other involved parties have insurance that covers this type of incident or injury?

Yes
No

Has you filed any type of claim or have you had anyone review your case?

Yes
No

Do you have any of your medical records or reports for review?

Yes
No

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The information contained in this web site is intended to convey general information. It should not be construed as legal advice or opinion. It is not an offer to represent you, nor is it intended to create an attorney-client relationship.

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