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Free Case Evaluation

FREE FOSAMAX CASE EVALUATION

 

NOTE:  This Case Evaluation form can also be completed for situations that involve other bisphosphonate osteoporosis medications such as Actonel and/or Boniva -- even if there is no Fosamax involved.  You can simply put the facts about your use of Actonel and/or Boniva in the "additional information" box at the end of this Case Evaluation form.

We suggest you use, instead, our new Fosamax / Boniva / Actonel Drug Injury Case Evaluation form.


 

Our law firm represents people in personal injury cases who have developed adverse side effects associated with Fosamax such as thighbone (femoral or femur) fractures as well as osteonecrosis of the jaw (ONJ), or jaw bone rot, and osteomyelitis.

Please be assured that the information you provide to our law firm when completing this legal case evaluation form will be treated by us as strictly confidential.  You will get a reply from us no later than the next business day.  Submitting a case evaluation does not obligate you to hire our law firm for your lawsuit.  We handle all cases on a contingency fee basis, which means that you will make no payment for our legal services until after we have succeeded in getting legal compensation for you.

If you need immediate advice or legal representation for a possible claim, call us on our toll-free number: (800) 426-9535.

Please do not hesitate to contact us, as there are no legal fees or any other costs incurred whether you fill out our case evaluation form or call our office to speak about a possible case.


Personal Information

*Required Fields

*Your Name:

*E-mail:

Street Address:

City:

State:

Zip:

*Phone Number:

Best time to call: DayNight


Case Facts

1. Have you, a family member, or some other person you know suffered a serious side effect caused by Fosamax?YesNo

If yes, please indicate which condition(s) the doctor diagnosed; check all that apply:

Thighbone (femoral or femur) Fracture
Other adverse side effect:

2. Would the case you are describing be a personal injury case or a wrongful death case:
Wrongful DeathPersonal Injury

3. Is this for you or someone else, and if it is for someone else, what is his or her relationship to you?
MeSomeone Else
Relationship:

4. What was the date of the initial diagnosis of the Fosamax side effect:

5. If there was a death from Fosamax, on what date did it occur:

6. What is the date of birth of the person who had an adverse reaction to Fosamax:

7. Has a lawsuit been filed concerning the Fosamax side effect: YesNo

8. What dosage of Fosamax was prescribed?


Is there any additional information you would like to include?

Please enter any additional information about this claim, as well as any comments or questions you may have, in the following space:



  • US FDA advises that you should not stop taking any prescription medication before talking to your doctor.
  • Reports of serious drug side effects should be made to the US FDA MedWatch program.
  • The prescription drug names are registered trademarks of the respective drug companies.
  • DrugInjuryLaw.com is not affiliated with any of the drug companies, nor US FDA.
Law Offices of Thomas J. Lamb, P.A.
Lumina Station Suite 225
1908 Eastwood Road
Wilmington, NC 28403
Tel: (910) 256-2971   Fax: (910) 256-2972
Toll Free: (800) 426-9535
email: ThomasJLamb@DrugInjuryLaw.com

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