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Medical Device Product Liability Case - Intake Form

Medications must approved by the FDA to be sold in the United States. Products approved by the FDA, yet used for unapproved purpose may be unsafe and carry dangerous risks. The timely, cost-effective resolution of defective medical products often calls for an attorney who is experienced in handling these matters and dedicated to providing personal service. Contact our firm today to schedule a consultation and case evaluation with a defective drug and medical device attorney.

Learn More About Defective Drugs and Medical Devices

The attorneys at Rheingold, Valet, Rheingold, McCartney & Giuffra LLP are successful trial attorneys as well as resources and educators in a wide range of medical malpractice and product liability topics. We offer our clients excellent legal representation and personal legal representation. For more information about our practice, please visit our drug liability and medical devices pages.

Below, we have provided some general information about unsafe prescription drugs and defective medical devices. For more information or to schedule a case evaluation with one of our attorneys, please contact us online or by telephone at 888-335-9457.

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Medical Device Product Liability Case - Intake Form

Name

Email Address

Phone Number

What is the name of the medical device you were using?

Who prescribed the device?

For what purpose or medical condition was it prescribed?

Was the device accomplishing that purpose?
Yes  No 

Who was monitoring your condition while you were using the device?

Where did you acquire the device?

Did anyone provide you with instructions regarding the device?
Yes  No 

Were you using the device properly when it caused you harm?
Yes  No 

How did the device injure you?

Was the device ever repaired? When and by whom? Describe the repair.

Was the device ever altered? When and by whom? Describe the alteration.

When did you first seek medical care for the injury caused by the device?

What is the current status of the injury caused by the device? Prognosis?

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