Ascend Disability Lawyers LLC
Representing Seriously Injured & Disabled Americans
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First Name
Last Name
Phone Number
Email Address
Case Summary
Do you have a disability that has prevented or will prevent you from working for 12 months or longer? YesNo
How old are you?
Are you currently receiving medical treatment? YesNo
Are you currently receiving SSD or SSI benefits? YesNo
Is an attorney currently assisting you with your case? YesNo
What type of case? Social SecurityVeterans DisabilityBothOther
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