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Texas Prempro Lawyers - Kraft & Associates

 


Submit Your Claim

Please fill out this form and submit it for a free case evaluation. We will contact you by the next business day. Required fields are in red, with an asterisk.

After you submit this form you should get an auto-response e-mail to let you know that we received it. If you do not, please call us at the phone number at the top of this page or click the e-mail link on the left side of this page.

*Title:
*First Name:
*Last Name:
Address:
City:
*State:
Zip Code:
Home Phone:
Work Phone:
*Email address:
Patient's Date of Birth:
Patient's Marital Status:
What hormone replacement therapy products were taken?

Prempro:

 Yes  No

Premarin:

 Yes  No

Premphase:

 Yes  No

Provera:

 Yes  No

Other:

 
When were the products taken?  
Has the patient experienced any of these side effects?

Lobular Breast Cancer:

Yes No

Ductal Breast Cancer:

Yes No

Stroke:

Yes No

Blood Clots:

Yes No

Pulmonary Embolism:

Yes No

Death:

Yes No

Other side effects:

 
Give a short description of the facts of the claim:
Describe the symptoms:
When did the symptoms begin?
If you are not the patient, please give us the patient’s name:
What is your relationship to the patient?
If you have lost a loved one, please give the date they passed away and the cause of death:
Is the patient being treated by a doctor now? Yes No
Has a doctor ever said the symptoms were caused by hormone replacement therapy? Yes No
*Do you have an attorney for this claim? Yes No
Do you have any questions or comments?
*Yes No  I understand that by filling out this free consultation form I am not forming an attorney-client relationship. I understand that I may only retain an attorney by entering into a written contract and that by submitting this form I am not entering into a contract.

I agree that the above does not constitute a request for legal advice.
   

Name: Email:
Message: Phone:
 
Kraft & Associates, P.C. maintains offices in Dallas, Texas. We serve all areas of North Texas, including Dallas County, Tarrant County, Denton County and the cities of Dallas, Fort Worth, Arlington, Irving, Grand Prairie, Garland, Mesquite, Richardson, Plano, Frisco, Carrollton, Farmers Branch, Lewisville, Hurst, Euless, Bedford, Grapevine, Coppell, Colleyville, Duncanville, DeSoto, Cedar Hill, Lancaster and Rockwall. We also accept cases throughout Texas, including Houston, Austin, San Antonio, Tyler, El Paso, Waco, Lubbock, Amarillo, Corpus Christi, Brownsville, Beaumont, Abilene, Wichita Falls, Laredo, Midland, Odessa, Texarkana or any other city in Texas.

Cases may be referred to other attorneys. Prempro is a registered trademark of Wyeth Pharmaceuticals.
®

Please read this Legal Mumbo Jumbo before acting on any information contained in this Web site.

Click here for a Map to our office or call us at (214) 999-9999 for driving directions.

All questions concerning this Web page should be directed to Robert Kraft. The attorney responsible for this site for the purposes of compliance with the Texas Bar Rules is Robert Kraft.

The entire contents of this Web site are Copyright © 1998 - Kraft & Associates : Attorneys at Law, P.C. All Rights Reserved Worldwide. In addition, certain articles are reprinted with permission as indicated therein. Personal Injury, Automobile Accident, Wrongful Death, Nursing Home Negligence, Texas Workers' Compensation.

Please visit our other Web sites: KraftLaw.com, Air Bag Injury Claims, Auto Accident Injury Claims, Dog Bite Injury Claims, Prempro Drug Claims, Social Security Disability Law, Social Security Law, Texas Criminal Law, Texas Family Law, Texas Workers' Compensation, Truck Wreck Injury Claims, Vioxx Drug Claims, Immigration Law Answers, Immigration Law Answers Blog, DFW Immigration Law Blog, Injury and Disability Blog, Robert Kraft's Blog

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