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Privacy Policy Statement

 

We respect the privacy of our clients and visitors to our Web site. If as a visitor you choose to register or submit information to The website via this Web site, you agree to the use of such data in accordance with this privacy statement.

 

Information Collection
As a visitor, you do not have to submit any personal information in order to use the Web site. Any personally identifiable information that is specifically and voluntarily made available to The website, while browsing or navigating the site will be kept confidential. Such information may consist of, but is not limited to, your name, address, title, company, occupation, e-mail address and telephone and fax numbers. This information may be necessary for the firm to communicate with visitors to the site when they post a question or comment, request additional information, or inquire about a case review.

 

This website does not transfer your personal information to third parties without your consent. If you choose to provide us with your personal information, we may transfer that information within the law firm as necessary to respond to your request or inquiry or add you to a mailing list regarding the firm or legal information.  You may remove yourself from such a mailing list at anytime by sending us an email.

 

However, you should be aware that despite our efforts, information you send us in an email message might not remain confidential or privileged. The website strives to protect personal information submitted by users of the website, including through the use of firewalls and other security measures on our servers.

 

However, no server is 100 percent secure, and you should take this into account when submitting personal or confidential data about yourself on any website, including this one.

Stevens Johnson Syndrome

Complete and submit the following information. Fields with (*) are required.

If you prefer, you may contact us : toll free at (866) 613-6952

This information will be kept private and confidential and used for the sole purpose of evaluating your case.

Please note that without a phone number or e-mail address, we will not be able to contact you.

You will be contacted by an attorney or paralegal, who is experienced in the area of drug injury law.

Submitting this form does not create an attorney-client relationship: Agree     Disagree

*Full Name of person needing assistance.
*E-Mail
*Home phone
Work phone
Cell phone
Address
City, State, Zip
Name of Medicine, Drug, or Over the
Counter medicine
What is best way to reach you?
(e-mail, phone, letter)
*Injured in City, State
*Describe
*List all medication
*Please enter the digits displayed here:

For Parents or Guardians

If the person in need of assistance is a minor or is a disabled adult with an appointed guardian we will need to communicate with that parent or guardian.