Consent to Contact

1. 1. Required

   I have read and agree to the Privacy Policy and Terms of Use of National Injury Recovery.

2. 2. Required

   I confirm the information I provided is accurate and ask National Injury Recovery to share it with appropriate participating service providers so they can respond to the recovery help I requested. I understand this does not guarantee treatment, legal representation, funding, benefits, coverage, eligibility, or any other outcome.

3. 3. Required

   I authorize National Injury Recovery and the participating service providers identified in the applicable provider list to contact me by telephone call and text message at the number I provided about my recovery request. Message and data rates may apply. I may revoke this consent at any time.

4. 4. Optional

   I also authorize these calls and text messages to be made using automated dialing technology or an artificial or prerecorded voice, where permitted by law. Consent to receive marketing communications is not required to obtain any product or service.

5. 5. Optional

   I would like to receive email updates about my recovery request and related recovery resources. I can unsubscribe at any time.

You may revoke your consent at any time by emailing support@severeinjuryrecovery.com. See our Privacy Policy, Terms of Use, and Participating Provider List.