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Trichter & Murphy, P.C.
310 S. St. Mary's, Suite 1806
San Antonio, TX 78205
Phone: 866-769-3925

Do you have any previous drunk driving convictions?

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Were you involved in an accident?

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If yes was anyone hurt?

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Were any of the following field sobriety tests performed (check all that apply)?

Breathalizer
Alphabet
Counting
Balance
Nose

Were you arrested at the scene?

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No

eg. xxx-xxx-xxxx

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