Defective Medtronic Cardiac Lead Information

The Renaissance On Water
Ste. 160, 309 North Water St.
Milwaukee, WI 53202
Phone: 414-223-1050
Toll Free: 1-800-INJURED
Fax: 414-223-4355
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Injury Attorney

Milwaukee, Wisconsin

Asbestos and Mesothelioma Injury Cases

Asbestos and Mesothelioma Contact Form

NOTE: An asterisk (*) indicates REQUIRED information. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

*First Name:

*Last Name:

*E-mail address:

*Phone Number:

When did you first have contact with asbestos?

Where were you when the contact occurred?

What were you doing when the contact occurred?

Who owns the property where the contact occurred?

How many times have you been exposed to asbestos?

Did you or your employer purchase the product that contained the asbestos?

Were you working at the time of the exposure? For whom?

If you encountered the asbestos at work, do you recall any training, warnings or provision of protective gear by your employer to protect you from or educate you about asbestos?

What disease or injury (mesothelioma, asbestosis, lung or other cancer) has occurred as result of the asbestos exposure?

Please list your treating physicians and other medical providers

Do you or have you smoked? How much and when?

When did you first receive treatment for the condition caused by the exposure?

What was your diagnosis? What is your diagnosis/prognosis today?

What type of treatment do you currently receive?

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

Our injury attorney at The Cochran Firm Wisconsin provides legal advice and representation for people filing asbestos and mesothelioma injury claims in communities throughout Wisconsin , including Milwaukee , Waukesha, Racine, Kenosha, Elkhorn, Lake Geneva, Mequon, West Bend, Brookfield, Green Bay, Fox River Valley, DePere, Appleton, Oshkosh, Fond du Lac, Waupun, Sheboygan, Manitowoc, Madison, Janesville, Beloit, Kewaunee, Sturgeon Bay, Neenah, Menasha, Shawano, Waupaca, La Crosse, and Wausau, Wisconsin.