Personal Injury Case Intake Form

When a potential client reaches out after an accident or injury, the intake process sets the tone for your entire attorney-client relationship. This Personal Injury Case Intake Form helps law firms gather critical information efficiently—accident details, injury documentation, insurance coverage, and medical authorization—so you can quickly assess case viability and begin building a strong claim.

Built specifically for personal injury attorneys, this template covers everything from incident circumstances and witness information to prior medical history and insurance details. Conditional logic ensures clients only see relevant questions based on their accident type, while clear instructions help them provide the detail you need to evaluate damages and liability.

Streamline your intake with Paperform's legal-ready features:

• Papersign integration lets you collect medical release authorizations and representation agreements with legally binding eSignatures, keeping everything linked to the original intake submission for a clean audit trail
• Stepper workflows can automatically route high-value cases to senior attorneys, send intake summaries to your case management system, trigger follow-up sequences, and notify your team when critical documentation is uploaded
• Secure file uploads allow clients to submit accident photos, police reports, medical records, and insurance documents directly in the form
• GDPR and SOC 2 Type II compliance ensure sensitive client information is protected with enterprise-grade security

Whether you're a solo practitioner or a multi-attorney firm handling motor vehicle accidents, slip-and-falls, workplace injuries, or medical malpractice, this intake form helps you collect complete, organized information from day one—so you can focus on winning cases, not chasing missing details.