Vince M. Powers & Associates
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ATTORNEYS
Brain Injury Support Groups
Vince M. Powers
Elizabeth A. Govaerts
Kathleen M. Neary
 

411 S. 13th Street
Suite 300
Lincoln, NE 68508

p. 402-474-8000
f.  402-474-5006

vince@vpowerslaw.com
First Name *
Last Name *
E-mail Address: *
Date of Birth *

Tell Us What Happened:

Date of Injury/
Accident *
Cause of Injury *
What Happened/
Legal Concerns *
Have you seen a doctor? *Yes
No
Diagnosis/
Treatment
State you were injured in *
Was your property damaged? *Yes
No
Do you have insurance which covers accident/injury? *Yes
No

Please, provide necessary contact information so that we can answer your questions or concerns:
Address
City
State
Zip
Home Phone
Work Phone
Contact
Preference *
Best Time to Contact
* Required

Traumatic Brain Injury - Dedicated to survivors and all who wish to learn more about traumatic brain injury.
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Head Injury Hotline
A non profit clearinghouse founded and operated by head injury survivors since 1985.

brain@headinjury.com
Telephone: 206-621-8558
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TPN Inc., The Perspectives Network -- Provides forums and resources for persons with brain injury, their families, caregivers, friends and the professionals who serve them. Their goals are to promote a sense of community, and to increase public awareness of brain injury.

TPN@tbi.org
Voice/Fax: 770-844-6898

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© 2005 Vincent M. Powers & Associates.