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Medical Malpractice Contact Form

At some hospitals, 18-36% of patients may suffer harm from a medical mistake that causes injury or death.

Spinal Cord Injury - Brain Injury - Hospital Malpractice - Medication Error

If you have reason to believe that you have suffered injury because of medical malpractice, you are well advised to consult with an experienced medical malpractice lawyer sooner rather than later.

I offer injured and bereaved clients personal attention and compassion along with a sincere interest in their cases and finding the most appropriate legal remedy for their unique situation.

Whether you have suffered an amputation, brain injury, or spinal cord injury, if I accept your case, I will thoroughly investigate and document the facts of your medical treatment that went wrong, your injury, and your losses-both present and future losses, and both tangible and intangible losses.

The following information is intended to provide you with a general background related to medical malpractice. It does not necessarily relate to your particular defective drug or emergency room error case and should not be taken as legal advice. To schedule a personalized consultation, contact my Chicago medical malpractice law firm.

Thank you for contacting Leopold & Associates, L.L.C. Your message has been sent.

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Medical Malpractice Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

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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