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Reglan Side Effect Injuries Contact Form
If you or a family member have suffered a serious injury or a loved one died after being prescribed Reglan, you may be eligible to file a claim. Please use the form below to contact an experienced personal injury attorney at the national law firm of Lieff Cabraser Heimann & Bernstein, LLP. There is no charge or obligation for our review of your case.
We agree to protect your name and all confidential information you submit against disclosure, publication or unauthorized use to the full extent under the law. We will respond to your inquiry as promptly as possible. There is no charge or obligation for our review of your case.
If you prefer, you may contact Lieff Cabraser personal injury attorney Heather A. Foster in our San Francisco office at 1 (800) 541-7358 (the call is toll-free). You should feel free to ask us any questions concerning our qualifications, experience, and contingent fee agreement. For more information about our firm, click here.
Please read our disclaimer.

First name*
Last name*
Address
City
State
Zip Code
Country
Telephone - day
Telephone - eve.
E-Mail address*
Are you currently represented by an attorney?
What age were you or the family member when Reglan use began?
What was the date you or the family member first used Reglan?
When did you stop using Reglan?
Do you or the family member smoke (or did you do so during the time you or the family member used Reglan)?
Did you or the family member take any anti-psychotic medication while using Reglan?
Did you or the family member experience serious medical complications while using Reglan?
If yes, please describe any such serious medical complications:
If you or a family member suffered any serious medical complications, what date(s) did they occur?
Did you or the family member see a doctor concerning these medical complications?
If yes, what was the result of seeing the doctor?
Additional comments:
(* indicates required field)
DISCLAIMER AND PRIVACY NOTICE:
If you have or suspect you have a medical problem, you should consult a professional healthcare provider immediately.

Completion of this form does not contractually obligate our firm to represent you. We can only serve as your attorney if both you and our firm agree, in writing, that we will serve as your counsel.

The hiring of legal professionals is an important decision which should not be based on advertising alone. Please read our disclaimer.

Lieff Cabraser maintains the privacy of your message. We do not transfer your personal information, including your e-mail address, to anyone. We produce a free e-mail Consumer Law Newsletter three to four times a year, and distribute it to persons who have contacted us and wish to receive the newsletter. To read our full Privacy Notice, click here.
Please sign me up for the free Lieff Cabraser E-mail Consumer Law Newsletter.  
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LIEFF CABRASER HEIMANN & BERNSTEIN, LLP
E-Mail: mail@lchb.com
Firm Website: www.lieffcabraser.com
Notice: Lieff Cabraser attorneys provide legal advice and practice law for clients in federal district courts throughout the United States and in state courts where we are licensed to practice. In states in which our lawyers are not licensed to practice, we have affiliations with local attorneys who serve as co-counsel with our firm. Please read our disclaimer.
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