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PERLA CASTILLO

treating
medium
CS-2607-2506·Auto Accident·zuly@azandassociates.net
Original Intake Submitted
Staff Updates Applied
Last updated by StaffAug 21, 2026 5:57 PM

Missing Information

Client Email
Client Insurance
Client Vehicle
Other Party Vehicle

People Involved

Total People0
Injured0
No people recorded—

Client

NamePERLA CASTILLO
Phone678-429-4027
DOB2005-09-20
Address19 DEERFIELD WAY, LAWRENCEVILLE, GA 30044

Insurance

Client Carrier—
Policy Limitsuber 1 million
At-Fault CarrierPROGRESSIVE
At-Fault Claim #26-327829495
At-Fault Policy #968642745

Adjusters

PD Phone770-280-6768

Vehicle

DrivableYes

Medical

Assigned ClinicDominguez Chiropractic Lawrenceville
Treatment Statuspending
ER VisitYes
HospitalNORTHSIDE GWINNETT EMERGENCY
Currently TreatingNo

Injuries

Client

BACK, NECK AND R ARM and STOMACH PAIN

AI Analysis

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Case Summary

Incident Date

Jul 6, 2026

Incident Type

auto accident

Incident Location

GEORGIA

Client Role

passenger

Description

ELLA IBA DE PASAJERA EN EL UBER. CUANDO DE RREPENTE LLEGO EL CARRO POR DE TRAS Y LES PEGO.

At-Fault Insurance

Carrier

PROGRESSIVE

Policy #

968642745

Claim #

26-327829495

Adjuster Phone

770-280-6768

At-Fault Driver

OSWALDO SERVEN

Insured Name

SAME

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30044LAWRENCEVILLE, GA

Dominguez Chiropractic Lawrenceville

Assigned Attorney

The Law Office of Jonathan Herman

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

6 fields still missing

77%

Client Info

6/7
  • First Name
  • Last Name
  • Phone
  • EmailMissing
  • Address
  • Date of Birth
  • Preferred Contact Method

Incident

5/5
  • Incident Date
  • Incident Location
  • Incident Type
  • Incident Description
  • Client Role in Accident

Police & Injuries

5/5
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries Description
  • Hospital Name

Vehicle & Parties

0/5
  • Vehicle YearMissing
  • Vehicle MakeMissing
  • Vehicle ModelMissing
  • Insurance CompanyMissing
  • Insurance Policy NumberMissing

Docs & Consent

4/4
  • ID Document
  • Consent to Share Info
  • Consent to Accuracy
  • Digital Signature