For Attorneys
Welcome to the Attorney Portal
We built this just for you and your staff…
Attorney Portal
Before you start
What each request needs
Required on every request
- First name
- Last name
- Your Email
- Patient's First name
- Patient's last name
- Refer a Client
Optional
- Phone
- Law Firm
- Patient's Email
- Patient's Phone
- Date of Accident
- Referring Physician
- Do you have a request form you'd like to upload?
- Tell us a bit about what they need.
What happens nextFill out the form below and we’ll get your client taken care of.
- Balance Request
Optional
- Phone
- Law Firm
- Tell us a bit about what they need.
What happens nextFill out the quick form below and we’ll get that information sent over to you as quickly as we can.
- Records Request
Optional
- Phone
- Law Firm
- Do you have a request form you'd like to upload?
- Tell us a bit about what they need.
What happens nextWe’ll get back to you immediately during business hours.
- COLLISION CHIROPRACTORS Multiple Locations Across Phoenix
- drmike@collisionchiro.com
- www.collisionchiro.com (opens in new tab)
- Hours Vary Per Location
- Fax: 602-334-1026