Breast Implant Lawsuits - Robert J. Fenstersheib & Sheryl E. Berkowitz are ready to represent you.

breast implant lawsuit
 

Qualifying Information

Do you have any long term diseases such as:  Lupus (SLE), Polyarthritis, Scleroderma, or GCTS (General Connective Tissue Symptoms)? Do you have any serious related health problems such as severely dry eyes, polyarthritis, immune mediated skin rashes, peripheral neuropathy, myalgia, or positive ANA?  If you answered yes to any of these questions and you were inserted with silicone or saline breast implants before June 1, 1993, you may be eligible to participate in the Dow Corning (SF-DCT) and/or MDL 926 Class Action settlements.

Please complete the confidential questionnaire below so that we may better understand and advise you about your potential claim.

Please fill in all fields marked with a *
Name *
Address
State
Phone *
Best Time To Call *
Email Address *
Approximate date of initial implantation and at what facility?
*
Who was the doctor that performed the procedure?
Brand of Implant(s)?
*
Do you have a copy of your medical records from your breast implant surgery?
YES NO
Have you had your implants removed?
YES NO
Are/were your implants ruptured?
YES NO
Have you registered with either of the Claims Office?
YES NO
Which one(s)?
Please list any health problems you currently have, such as SLE, dry eyes, joint pain and swelling, body and face rashes, myalgias, chronic fatigue, numbness and tingling in extremities, photosensitivity, etc
Are you currently being treated by a doctor or a specialist?
YES NO
Have you received money from either Breast Implant Litigation Settlement Fund?
YES NO
How much?
Is an attorney currently representing you for your potential Breast Implant Litigation claim?
YES NO
Additional Comments


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This website is about Breast Implant Lawsuits and is brought to you by Personal Injury Attorney Robert J. Fenstersheib & Associates.


Personal Injury Attorney Robert J. Fenstersheib handles accident cases, personal injury lawsuits, breast implant settlements, slip and fall lawsuits in Florida
Fenstersheib Law Offices - 520 W. Hallandale Bch Blvd, Hallandale, Florida 33009 (800)LAW-MAN8 - Florida Personal Injury Attorneys