protecting workers in missouri & kansas for more than 25 years

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Workers' Compensation Contact Form

Name *

E-mail Address *

Phone Number

When were you injured or did you become sick?

Were you working at the time of the accident or harmful circumstance?

Yes

For whom?

How did the accident or harmful circumstance happen?

Were your injuries caused by tool or equipment failure or use?

Yes

If your injuries were caused by tool or equipment failure or use, who manufactured, distributed and/or sold the equipment with which you were working?

When and where did you first seek medical care for your injury?

What was your diagnosis? Prognosis?

Who is your physician(s)?

Had you ever experienced similar symptoms in the past?

Yes

Did the accident or harmful circumstance exacerbate a pre-existing injury?

Yes

Did the injury cause you to miss work?

Yes

Has your doctor authorized you to return to work?

Yes

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our office

10111 West 121st St
Overland Park, KS 66213-1635
Phone: 913-322-8880
Toll Free: 877-552-9782
Fax: 913.322.8084
Get Map & Directions

Contact our office today to schedule a free initial consultation to discuss your workplace injury and the compensation benefits you are entitled to receive.

Operating throughout the Kansas City Metro Area we represent clients in Overland Park, Leawood, Lenexa, Olathe, Roeland Park, Shawnee, Kansas City, Mission, Bonner Springs, Lansing, Leavenworth, Grandview, Lees Summit, Belton, Raymore, Pleasant Hill, Raytown, Independence, Blue Springs, Kansas City, Gladstone, Liberty, Excelsior Springs, St. Joseph, Butler, Clinton, Warsaw, Nevada, Sedalia, Marshall, Warrensburg and communities throughout Johnson County, Miami County, Wyandotte County. Counties in Missouri: Jackson County, Cass County, Johnson County, Platte County, Clay County, Ray County and Saline County.

The choice of a lawyer is an important one and should not be solely based upon advertisements.

John R. Stanley

Helping Injured Workers in Kansas and Missouri

913-322-8880

877-552-9782

Main menu

protecting workers in missouri & kansas for more than 25 years

Workers' Compensation Contact Form

practice areas

our office

John R. Stanley

Helping Injured Workers in Kansas and Missouri

913-322-8880

877-552-9782

Main menu

protecting workers in missouri & kansas for more than 25 years

Workers' Compensation Contact Form

Search form

practice areas

our office