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WILSON PEREZ PEREZ

intake
medium
CS-2609-2090·Auto Accident
Original Intake Submitted
No Staff Updates Yet

Missing Information

Client Insurance
Client Vehicle
Other Party Vehicle

Intake Status

Completed

People Involved

Total People1
Injured1
MADISON SAMADI PEREZInjured

DOB: 2024-10-23

⚠ CABEZA LADO DERECHO. LLORANDO EN TODA LA NOCHE

Client

NameWILSON PEREZ PEREZ
Phone678-862-5042
EmailWILSONLEONELP@ICLOUD.COM
DOB2002-06-09
AddressATLANTA, GA, 30341

Insurance

Client Carrier
At-Fault CarrierGEICO
At-Fault Policy #6260157638

Adjusters

Vehicle

DrivableYes

Medical

Assigned ClinicDominguez Chiropractic Doraville
Treatment Statuspending
ER VisitNo
Currently TreatingNo

Injuries

Client Injuries

MADISON SAMADI PEREZ

CABEZA LADO DERECHO. LLORANDO EN TODA LA NOCHE

AI Analysis

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Case Summary

Incident Date

Sep 2, 2026

Incident Type

auto accident

Incident Location

BROOKHEAVEN

Client Role

driver

At-Fault Insurance

Carrier

GEICO

Policy #

6260157638

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30341ATLANTA, GA

Dominguez Chiropractic Doraville

Assigned Attorney

Stephen Law Firm

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

8 fields still missing

68%

Client Info

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

Incident

4/5
  • Incident Date
  • Incident Location
  • Incident Type
  • Incident DescriptionMissing
  • Client Role in Accident

Police & Injuries

3/4
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries DescriptionMissing

Vehicle & Parties

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

Docs & Consent

3/4
  • ID DocumentMissing
  • Consent to Share Info
  • Consent to Accuracy
  • Digital Signature