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Medical Malpractice Contact Form

Expert testimony can be critical to establishing causation in medical malpractice cases. When you are pursuing a medical malpractice claim, an attorney who has regularly advised and represented clients in medical malpractice litigation can help you to prepare a strong case. To learn more about our legal services, contact our firm to schedule a consultation and case evaluation with an experienced personal injury attorney.

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Medical Malpractice Contact Form

Name

Email Address

Phone Number

What is the identity of the doctor and/or hospital in question?

When did you begin the medical treatment in question? When did the treatment end?

What occurred that leads you to believe a health care professional caused you harm?

Has any health care professional apologized for the results of your care?
Yes  No 

Has anyone told you that the medical care you received caused you an injury?

Did anyone discuss the risks of the treatment or medication at issue with you?
Yes  No 

Did you sign any documents acknowledging you were aware of the risks of treatment?
Yes  No 

Did you sign an arbitration agreement prior to commencing the medical care at issue?
Yes  No 

Did you have a pre-existing relationship with the doctor in question?

Was the physician in question assigned to you by a hospital?
Yes  No 

Why did you go to the doctor/hospital? What happened?

What is the current status of that condition?

What were you diagnosed with?

What treatment did you receive? What were the results of that treatment?

Are you currently under a doctor's care? For what?

What is your diagnosis? Prognosis?

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Seidman Law Offices | Personal Injury Attorney | Chicago, IL

The Chicago personal injury and workers compensation attorneys at Seidman Law Offices handle car and truck accident claims, medical malpractice, and workers? compensation. Call us at 312-781-1977 or visit http://www.seidmanlaw.net.