Bryan W. Clickner, Attorney at Law
Accidents & Workers' Compensation Bankruptcy Corporate Law Divorce & Family Estates, Wills & Trusts Office Information

Accidents and Workers’ Compensation

We represent individuals who are injured in automobile accidents, slips and falls,
work related injuries and in workers compensation claims. Depending on the type
of accident, you may be entitled to compensation for medical bills, lost wages and pain
and suffering.

To help us evaluate your case, please complete the following form. We will
review the information, then contact you to discuss your case with you.
This information is handled in confidence.

We look forward to hearing from you.
Your first and last name (required)
Phone (required)
Email address (required)
Date of Accident (month/day/year)
Type of accident (select one)
Time lost from work
Medical treatment you have received (check all that apply):
Emergency Room
Primary Care Physician
Orthopedic
Chiropractic
  Physical Therapy
Neurologist
Other

Brief Description of Accident and Injury
Bryan W. Clickner, Attorney at Law, PLLC
152 So. Mast Street, Goffstown, NH 03045		 Phone: (603) 497-3400
Fax: (603) 497-4909
Serving the New Hampshire communities of Goffstown, New Boston and Weare

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