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KEVIN OLIVA

treating
medium
CS-2607-9372·Auto Accident·erika@azandassociates.net
Original Intake Submitted
Staff Updates Applied
Last updated by StaffAug 21, 2026 4:57 PM

Missing Information

Client Insurance
Other Party Vehicle

People Involved

Total People0
Injured0
No people recorded

Client

NameKEVIN OLIVA
Phone470-232-2513
EmailKOLIVA747@GMAIL.COM
DOB2004-03-24
Address765 RIVERSIDE WALK XING, SUGAR HILL, GA 30518

Insurance

Client Carrier
Policy Limits25/50
At-Fault CarrierASSURANCE AMERICA
At-Fault Policy #PGA2620936

Adjusters

Vehicle

Year2020
MakeHonda
ModelCIVIC
DrivableNo

Medical

Assigned ClinicDominguez Chiropractic Lawrenceville
Treatment Statuspending
ER VisitNo
Currently TreatingNo

Injuries

Client

LOW BACK, MIEDO A MANEJAR

AI Analysis

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Case Summary

Incident Date

Jun 10, 2026

Incident Type

auto accident

Incident Location

GWINNETT

Client Role

driver

Description

LE PEGARON POR ATRAS

At-Fault Insurance

Carrier

ASSURANCE AMERICA

Policy #

PGA2620936

Client Vehicle

Year

2020

Make

Honda

Model

CIVIC

Ownership

Legal Owner

ALFONSO OLIVA (PAPA)

Damage Description

PARTE DE ATRAS DE LADO IZQ

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30518SUGAR HILL, GA

Dominguez Chiropractic Lawrenceville

Assigned Attorney

Stephen Law Firm

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

2 fields still missing

92%

Client Info

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

Incident

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

Police & Injuries

4/4
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries Description

Vehicle & Parties

3/5
  • Vehicle Year
  • Vehicle Make
  • Vehicle Model
  • Insurance CompanyMissing
  • Insurance Policy NumberMissing

Docs & Consent

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