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Auto Accident or Personal Injury Patient Health Questionnaire Name: ___ Nickname: ___ Date:___ Age: ___ Date of Birth: ___Height: ___ Weight: ___ Occupation:___Employer:___ How did you hear about
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An auto accident or personal injury refers to an incident involving a vehicle that results in injury or damage to a person or property.
The individuals involved in the auto accident, typically the drivers and sometimes the passengers or witnesses, are required to file, especially if there are injuries or damages.
To fill out an auto accident or personal claim, provide details such as the date and time of the accident, parties involved, witness information, a description of the incident, and any injuries sustained.
The purpose of filing an auto accident or personal injury claim is to seek compensation for injuries, damages, or losses incurred as a result of the incident.
Information that must be reported includes names and contact details of all parties involved, insurance information, vehicle details, the circumstances of the accident, and the extent of any injuries.
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