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Brain Injury Symptoms

A concussion is a type of brain injury that has many symptoms. These symptoms are usually temporary, but may last for days, weeks, or even longer. Generally, if you feel that “something is not quite right,” or if you’re “feeling foggy,” you should talk with your doctor. Here are some of the symptoms of a concussion:

Low-grade headaches that do not abate
Having more trouble than usual:

Remembering things
Paying attention or concentrating
Organizing daily tasks
Making decisions and solving problems

Slowness in thinking, acting, speaking, or reading
Getting lost or easily confused
Neck pain
Feeling tired all the time, lack of energy
Change in sleeping pattern:

Sleeping for much longer periods of time than before
Trouble sleeping or insomnia

Loss of balance, feeling light-headed or dizzy
Increased sensitivity to:

Sounds
Lights
Distractions

Blurred vision or eyes that tire easily
Loss of sense of taste or smell
Ringing in the ears
Change in sexual drive
Mood changes:

Feeling sad, anxious, or listless
Becoming easily irritated or angry
Lack of motivation

If you would like your case to be reviewed by an experienced personal injury lawyer, please fill out the form below. A lawyer will review your brain injury form and may contact you to further discuss your legal options.

Free Brain Injury Symptoms Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Injury:	*
City where injury occured:	*
State where injury occured:	*

Please briefly explain the incident that caused the brain/head injury:
Who do you believe was at fault in causing the injury, and what do you believe they did wrong?
Describe the injuries in detail:

Do you believe the injuries are permanent?

Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
Is there anything else that would assist us in
understanding the facts of your case?

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Please specify how you found us (if other than above):

If you found us using a search engine,
please tell us which search engine?

Please tell us exactly what terms you typed into the
search engine to find us? (i.e. Personal Injury Lawyers)

I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
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I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
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