Personal Injury Intake — Car Accident With Injuries
Client: Jessica Client
Phone: (555) 123-4567
Email: jessica@client.com
Date of Accident: December 4, 2025, approx. 5:45 PM
Location: I-285 West near the Glenridge exit, Atlanta, GA
Type of Case: Motor Vehicle Collision – Rear-EndClient was traveling in the middle lane during stop-and-go traffic. While slowing to a near stop, her vehicle was struck from behind by another driver, identified as Katherine Driver. The other driver stated she “looked down for a second” and was cited by Georgia State Patrol for following too closely. Witness present and provided information to police.
Police: Georgia State Patrol responded to scene.
Report Number: Client believes it is 25-11247 (not fully certain).
Citation: Issued to adverse driver for following too closely.Client reports neck pain, lower-back pain, persistent headache, stiffness, difficulty sleeping. Head struck headrest on impact (no LOC). Pain currently rated 7–8/10.
Visited Northside Hospital ER immediately after the collision. X-rays and CT scan performed. Diagnoses: Cervical strain and lumbar strain. Prescribed muscle relaxers. Pain worsening today. Plans to follow with a doctor.
Vehicle: 2018 Honda Accord.
Damage: Rear bumper smashed, trunk won’t close, possible structural damage underneath. Vehicle was towed; not drivable.Client’s carrier: GEICO (has not contacted them yet).
At-fault driver’s carrier: State Farm.Client works in a warehouse doing lifting. Missed work today due to pain. States she will likely need additional time off.
Client scheduled for free consultation today at 3:30 PM with Attorney Jason Lawyer. Attorney will call the client directly at her provided number.
Full Name Jessica Client Phone (555) 123-4567 jessica@client.com
Adverse Party Name Katherine Driver Witness(es) One male witness (name not given on call; info provided to officer)
Date: December 4, 2025 Time: Approximately 5:45 PM Location: I-285 West, Glenridge exit, Atlanta, GA Description: Client slowing in stop-and-go traffic; rear-ended by another vehicle. Police Involvement: Yes – Georgia State Patrol Police Report Number: Possibly 25-11247 Citation: Adverse driver cited for following too closely Adverse Driver Statement: “Looked down for a second.”
Primary Complaints Neck pain | Lower back pain | Headache | General stiffness | Trouble sleeping Head Impact Yes, head snapped back into headrest Loss of Consciousness No Pain Level (1-10) 7-8/10
Initial Treatment Northside Hospital ER Diagnostics X-ray, CT scan Diagnoses Cervical strain, lumbar strain Medications Muscle relaxers Follow-Up Planning to see doctor; pain worsening
Vehicle 2018 Honda Accord Damage Rear-end damage; bumper crushed; trunk won’t close; possible undercarriage damage Drivable No – towed from scene
Client’s Insurance GEICO (not yet contacted) Adverse Insurance State Farm
Employer Warehouse job involving lifting Missed Work Yes – could not work the day after Expected Time Off A few more days minimum
Clear rear-end liability Documented injury + ER treatment Vehicle non-drivable Client in worsening pain Witness present
Date/Time Today, 3:30 PM Attorney Matthew Lawyer Method Attorney to call client directly
Subject: Your Consultation is Scheduled – Today at 3:30 PM
Hi Ms. Client,
Thank you again for speaking with us today. This email is to confirm your free legal consultation regarding your car accident on December 4th.
Appointment Details
Date: Today
Time: 3:30 PM
Attorney: Matthew Lawyer
Format: Phone consultation
Phone Number: (555) 123-4567 (you will be called directly)
During this consultation, the attorney will review what happened, discuss your injuries and medical care, go over insurance information, and explain your next steps. You’ll have the opportunity to ask any questions you may have.What We Know So Far
Based on your call today, we understand:
- You were rear-ended on I-285 West near the Glenridge exit.
- The other driver was cited for following too closely.
- You are experiencing neck and back pain, headaches, and stiffness.
- You were evaluated at Northside Hospital ER, where you were diagnosed with cervical and lumbar strains.
- Your vehicle, a 2018 Honda Accord, was towed due to significant rear-end damage.
- You currently cannot work due to your pain.
If Anything Changes
If your symptoms worsen, if you receive new medical information, or if you have any questions before your appointment, please feel free to contact us at any time. We are here to support you.We look forward to speaking with you and helping you through the next steps.
Warm regards,
Alexander Murcia
Intake Specialist
Law Firm
1234 Sample St, Unit 101, Atlanta, GA.
(888) 123-44567
Hello, this is Alexander Murcia, Legal Intake Specialist from Law Firm. Thank you for speaking with us today. If you have any questions or need further assistance, feel free to reply to this message or call us anytime. We’re here to help!Subject: Thank You for Your Call — We’re Here to Help
Email Body:
Hello Ms. Client,Thank you for speaking with us today. We appreciate you taking the time to share the details of your situation. Our team is now reviewing your information, and we will contact you as soon as we have an update or need any additional details.
If you have questions in the meantime, please feel free to reply to this email or call us directly. We’re here to support you every step of the way.
Best regards,
Alexander Murcia
Intake Specialist
Law Firm
1234 Sample St, Unit 101, Atlanta, GA.
(888) 123-44567