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0116 442 2075
Please complete the detailed head injury claim form below. If you provide your phone number, we will only call you to discuss this enquiry.
 
Please use our freephone number 0800 3899 096 if you would prefer to speak to one of our Personal Injury specialist solicitors or lawyers in confidence.

Personal Details

Injury Details

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Please ensure that you have completed all the required fields (marked with *) and then click submit to send the form.