Bicycle Intake Form https://form.jotform.com/231924674818163
MVA Intake Form https://form.jotform.com/231925736089163
Pedestrian Intake Form https://form.jotform.com/231925907205153
General Intake Form https://form.jotform.com/231925951018154
To Client:
Please click on the link provided below. Select the green “Start Signing” box in the
upper right corner and provide your name and e-mail address. On the screen you
will see a blue box that says “signature,” click on this box. In the pop up you
will be given a choice of “type” or “draw” select draw and complete your
signature using your mouse. Hit submit when finished.
Authorizations
UH Authorization https://www.jotform.com/sign/232064862435052/invite/01h69mfkhy1cad460ed90b57b0
Standard HIPAA https://www.jotform.com/sign/232623537265053/invite/01hascgerj1e30a5d77105bd88
Aultman Release https://www.jotform.com/sign/232623591334050/invite/01hase52cd100fbbdc4683b77e
Contracts
Knabe Atty Agreement PI – One Third & 40% After Trial
https://www.jotform.com/sign/232624043510039/invite/01hasj5b6g482937b7acef9514
Knabe Atty Agreement PI – 25% & One Third After Lawsuit
https://www.jotform.com/sign/232624284691056/invite/01hasctnfbd19d906d1a081645
Knabe Atty Agreement PI – One Third & 40% After Lawsuit
https://www.jotform.com/sign/232623860015045/invite/01hasczaafd650f09bb6f7c4bd
Knabe Atty Agreement PI-investigative Contingent 25% Prior
Trial
https://www.jotform.com/sign/232623540735049/invite/01hasd1wha725e7eb857c74d78
