Helpful Forms

Helpful Forms

Click on The Document Name Below to View or Download a Form

No Fault Forms

Motor Vehicle Forms

Miscellaneous Forms

Office Forms

Before Your First Visit: Check List (Call Our Office)
What To Expect During Your IME (Call Our Office)
Form 960 – Authorization For Release Of Health Information Pursuant To HIPPA (PDF)
NYS SUM / UM Demand for Arbitration (PDF)
New York Motor Vehicle No-Fault Insurance Law Arbitration Request Form (PDF)
Complaints about New York State Hospitals and Diagnostic and Treatment Centers (Link to Off-Site Contact Form)
DOH-3867 – Office of Professional Medical Conduct Doctor Complaint Form
Retainer Agreement - Retainer For Legal Services (PDF)

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Tractor Trailer Accident $4,000,000
A truck driver was rear-ended by another trucker and suffered failed back syndrome.
Post-Operative Complication $3,850,000
Attorneys John A. DeGasperis and Eli B. Basch negotiated a multi-million dollar settlement on behalf of an Albany County woman who sustained a traumatic brain injury (TBI) due to hospital and physician malpractice.
Floor Collapse $3,300,000
Our client literally fell through the floor.
Propane Explosion $2,500,000
A rusted propane tank that was delivered by the defendant leaked gas into a basement window.
Improper ER Discharge $1,900,000
A 20-year-old was improperly discharged from an emergency room.
Untimely Diagnosis $1,500,000
A 34-year-old wife and mother of two died from complications of the chickenpox.
Workplace Trial Verdict $1,450,000
New York City Police Officer attacked on the job.
Motorcycle Accident $1,200,000
Out client sustained numerous fractures and developed a severe neurological condition that affected his ability to eat, swallow, and speak.
Pedestrian Hit By Driver $1,100,000
A driver struck a pedestrian in a wheelchair knocking him over and causing his head to strike the pavement.
Tractor Trailer Accident $1,068,500
Kingston man seriously injured in a tractor-trailer workplace accident.
Improper Kidney Removal $1,000,000
Maureen Keegan recently negotiated a $1 million settlement in a medical malpractice lawsuit involving a woman who suffered the removal of her healthy kidney when a doctor mistook a benign growth for cancer.
Drunk Driver Car Accident $1,000,000
Car Accident $950,000
A 33-year-old woman was rear-ended by the defendant’s car. She sustained severe neck injuries.
Car Accident $900,000
A 19-year-old was hit while driving.
Defective Ventilation System $600,000
A family of four spent a night at a motel. While they were sleeping, their rooms filled with carbon monoxide due to a defective air ventilation system.

Hear It From Our Clients

Our Reviews

“Best lawyer in town!”
- Sadom S.
“All of the attorneys treated me like family which is very important when you are injured. Derek Spada has become my personal friend and holds a special place in my heart forever.”
- Sonja R.
“John and Staff were wonderful!”
- DJ M.
“It has been an absolute pleasure to work with John DeGasperis and Basch & Keegan.”
- B. Devine
“John was incredibly helpful and professional.”
- Laura M.