Defective Medical Device
Attorneys & Staff
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Case Review Request
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Please provide a brief personal background of the person needing assistance. Many times we are contacted by someone other than the person in need of help, such as a parent on behalf of a child, or wife on behalf of a husband. Please provide the following information on behalf of the person who needs assistance.
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Why do you need help? Please provide us with a very brief overview, in 200 words or less, describing in general the subject matter of your request. You can provide more detailed information below, but for now please confine yourself to providing us with a brief statement of the general facts of your case, injury and damages.
Brief statement on general facts of case, injury and damages
Where did it happen?
Who caused the harm? Please type in the names & addresses of all the wrongdoers involved:
What damages were suffered? Describe the damage you have suffered:
Has anyone already filed a suit?
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