Brant Hickey Orlando(407) 330‑2171. Call or text us now!

Refer a case

Send us the case details and we will follow up with settlement options. Attorneys and claims professionals welcome.

Refer a Case

Fill in as much as you have. Only the attorney or adjuster name, the claimant name, and a way to reach you are required — we can gather the rest on a call.

After you submit, we will point you to our secure upload portal for any case documents. Please do not attach medical records or other sensitive documents to this form. The upload portal is the HIPAA-compliant route for those.

Who is referring

Name, phone and email, if someone else handles day-to-day contact.

About the case

As it appears on the claim, so we can open the file correctly.

Optional. Your reference for this matter.

A short summary is enough. Please do not include medical records, dates of birth, or details of injuries or treatment — we will send you a secure upload link for those.