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Johnny Rodriguez

intake
medium
CS-2609-8640·Auto Accident
Original Intake Submitted
No Staff Updates Yet

Missing Information

At-Fault Insurance
Client Vehicle
Other Party Vehicle

Intake Status

Completed

People Involved

Total People0
Injured0
No people recorded

Client

NameJohnny Rodriguez
Phone4046377813
Emailrodriguezjohnny500@yahoo.com
AddressSmyrna, gA, 30080

Insurance

Client CarrierAssurance America
Policy #PGA2544960
At-Fault Carrier

Adjusters

Vehicle

DrivableYes

Medical

Assigned ClinicKostas Chiropractic
Treatment Statuspending
ER VisitNo
Currently TreatingYes

Injuries

Client Injuries

AI Analysis

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Case Summary

Incident Date

Aug 24, 2026

Incident Type

auto accident

Incident Location

Atlanta GA

Client Role

driver

Description

defendant did an improper change of lanes and collided with the driver side of the client's vehicle. defendant fled the scene. HIT AND RUN

Client Insurance

Carrier

Assurance America

Policy #

PGA2544960

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30080Smyrna, gA ZIP match found

Kostas Chiropractic

Assigned Attorney

The Law Office of Jonathan Herman

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

8 fields still missing

68%

Client Info

6/7
  • First Name
  • Last Name
  • Phone
  • Email
  • Address
  • Date of BirthMissing
  • Preferred Contact Method

Incident

5/5
  • Incident Date
  • Incident Location
  • Incident Type
  • Incident Description
  • 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