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Kaplan University
PA110: Unit 1 Assignment
February 5, 2015
Initial Client Interview Justin King
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Intial Interview
Initial Client Interview Form
A. CLIENT PERSONAL INFORMATION
Name: Justin King
Address: 123 Main Street, Chicago, Illinois 60601
Home Phone: (913) 123-4567 Work Phone: (913) 890-1234
Social Security Number: 123-45-6789
Drivers License Number: IL39562243
Date of Birth: 7/14/83
Marital Status: Single Dependents: None
Military Status: N/A
Occupation: Student/Retail
Employer Name, Address, Phone Number:
__________________________________________________________
Membership in Union or Professional Organization: N/A
Police Record (if any): N/A
Have you ever filed bankruptcy? If so, please explain. N/A
B. CLIENT EMPLOYMENT
Type of Work: Retail Sales Job Title: Cashier
Immediate Supervisors Name: Jill Janes
Salary or Hourly Rate: $7.75/hour
Number of Hours Worked Weekly - Before Accident 20
- After Accident 0
Benefits (Company car, pension plan, vacation, expense account, etc.) N/A
car accident and can no longer perform. On or around April 5th, Justin was at his agents office
where he signed a contract with MCI records. Although their main office is in Nashville,
Tennessee, MCI Records had agreed to meet with Justin at their Chicago office. The contract
stated that Justin would earn a guaranteed amount of $275,000 for three years plus a percentage
of sales. The accident happen after leaving his agents office also located in Chicago.
Justin states that the car accident happened on his way home after leaving his agents
office. Justin was driving his motorcycle home on Interstate 57, which is just south of Chicago,
and was driving 60 65 miles per hour in the left lane. Both Justin and the truck were driving in
Initial Client Interview Justin King
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the same direction on Interstate 57. As he was driving home, Justin states that a beer truck came
from behind flashing his lights and so he moved into the right lane to get out of the trucks path.
Although Justin is not 100% positive of what the trucks name is, he thinks that it was Coops,
not remember any more details of the accident. Justin states that when he woke he realized that
his face was in a lot of pain and that he jaws had been wired shut to hold his face together. Justin
states that the doctor informed him that his face had been wired shut because he had nine broken
bones in his face. He was admitted to ICU in Paxton, where he stayed for two days. The day
after Justin left the ICU; his agent from MCI Records called and said that he had to withdraw
to talk. Against doctor recommendations, Justin attempted to loosen the wires in his jaw so that
he could continue practicing his singing for the competition. This action resulted in him
receiving more medication and being handcuffed to the bed so he could not attempt to loosen the
wires again. The next day he woke with his family and agent in his room and wrote them a letter
given a private room and was no longer handcuffed; however, his face was still in a great deal of
pain. A few days after the transfer, his doctor came to check on his and noticed that his jaws
were moving because the wires were loose. As a result, the left side of his face was higher than
the right. They then brought in another doctor who attempted to reset the bones in Justins face,
and in addition to causing him a great deal more of pain, this procedure did not work.
As a result of the car accident and his hospitalization, Justins contract with MCI Records
had been cancelled due to the face that he can no longer perform. In addition to losing the
Initial Client Interview Justin King
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contract, Justin is on anti-depressants because he attempted suicide. He has spent the last year at
a psychiatric hospital in Kansas City. Moreover, he is on a lot of medication and has to see a
psychiatrist. Justin states that he receives a medical bill every month. His current total equals
$145,000. Furthermore, his doctor has informed him that he will need additional medical
services, such as plastic surgery. In combination with his psychiatric visits, the doctor estimates
6. First responders at the scene of the accident. (Police and original ambulance driver).
F. FOLLOW UP QUESTIONS:
1. Have you remembered any more details about the accident since the last time we met?
2. What are the names and dosage of the medication you are currently on?
Initial Client Interview Justin King
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3. What is the status of your plastic surgery?
4. Are you currently working? How are you supporting yourself if not?
1. Potential Witnesses
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