New Client Intake
Please take a brief moment to complete our online client intake form so that we may better assist you in pursuing your claim. All recorded information is handled with strict confidentiality and maintained within our world class secured servers.
*Please note that all MDASR offices require an appointment to be made prior to visiting.
8 East Main Street, 2nd Fl
Bay Shore, NY 11706
Mon-Fri: 9AM - 5PM
Send us an email
Please feel free to send us an email requesting additional information as needed. All fields are required.