Atlanta Car Accident Checklist | Car Accident Doctor Atlanta

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http://www.PremierHealthRehab.com

Dr. Guevara
678-223-3900

http://www.Facebook.com/AtlantaChiropractor

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Atlanta Car Accident Checklist | Car Accident Doctor Atlanta

  1. 1. Fill out this report as completely as possible: Location of collision: Atlanta 1. Police called? Yes No Direction of travel: Car Accident Checklist 2. Other vehicle information: Your vehicle: Other vehicle: Driver:Keep a pen and a copy of this Accident Checklist in your Name:glovebox. After you obtain the info about your accident, Injuries: Address:call Atlantas Car Accident Doctor at 678-223-3900 for a Your own: Phone:complete check up and to help you recover from injuries Your passengers: Driver’s License:fast! Other driver: Relationship to registered owner: Their passengers:If you’re involved in an auto accident: Registration: Pedestrians: Name of registered owner:1. Stay as calm as possible. Address: Area of Damage:2. Check for injuries. Safety is more important than License Plate: Expiration Date: Your vehicle: vehicle damage. Call an ambulance if needed. Other vehicle: Vehicle:3. Turn on your hazard lights. Use cones, warning triangles VIN: Other property: or flares for safety. Make:4. Call the police, even for minor accidents. Model: Diagram of Accident Scene: Year: Color: Using these symbols sketch a diagram showing positions of all5. Make immediate notes about the accident including the Insurance Company: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ vehicles, your position, stop lights, stop signs and specific damages to all vehicles involved. Policy Number: ______________________ pedestrians.6. Be polite and state only the facts. Don’t tell the police or other Phone: _____________Exp Date:________ drivers that the accident was another driver’s fault or was your fault. Let the police sort out all the facts to establish what happened. Other passengers:7. If a camera is available and the scene is safe, take photographs A. Name:___________________________________ Age:__________ Male____ Female ____8. Notify your insurance agent about your accident immediately Address:_________________________________ Phone: __________________________________ B. Name Age:__________ Male____ Female ____ Address:_________________________________ Phone: __________________________________ 3. Accident Information Police report taken? Yes ___ No ___ Report Number ______________________________ Officer Name ________________________________ Badge Number ______________________________ Call 678-223-3900 For Immediate Medical Treatment for Your Accident Injuries www.PremierHealthRehab.com

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