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Medical Malpractice Contact Form

Every year thousands of hospital deaths in the United States are due to potentially preventable medical errors. Your choice of attorney to represent your interests during a medical malpractice case could mean the difference between successful negotiations or expensive, ongoing litigation. Please contact our firm today to schedule a consultation with a personal injury attorney who can provide a clear explanation of your legal rights and options.

When Medical Providers Cause Injuries Instead of Curing Them

Many people who have been injured in a hospital or other health care setting are unsure at first whether or not their injuries were the result of medical malpractice. They may have noticed a bad outcome or that doctors are acting strangely.

If you believe that you or someone you care about has become the victim of medical malpractice, contact an attorney at the Ferrara Law Firm, LLC, by calling 856-324-6156 or toll free at 888-874-8317. You may also complete our online contact form.

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or use the form below.

Medical Malpractice Contact Form

Name

Email Address

Phone Number

What is the identity of the doctor and/or hospital in question?

When did you begin the medical treatment in question? When did the treatment end?

What occurred that leads you to believe a health care professional caused you harm?

Has any health care professional apologized for the results of your care?
Yes  No 

Has anyone told you that the medical care you received caused you an injury?

Did anyone discuss the risks of the treatment or medication at issue with you?
Yes  No 

Did you sign any documents acknowledging you were aware of the risks of treatment?
Yes  No 

Did you sign an arbitration agreement prior to commencing the medical care at issue?
Yes  No 

Did you have a pre-existing relationship with the doctor in question?

Was the physician in question assigned to you by a hospital?
Yes  No 

Why did you go to the doctor/hospital? What happened?

What is the current status of that condition?

What were you diagnosed with?

What treatment did you receive? What were the results of that treatment?

Are you currently under a doctor's care? For what?

What is your diagnosis? Prognosis?

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The Ferrara Law Firm

Ferrara Law Firm, LLC
601 Longwood Avenue
State Highway 38
Cherry Hill, NJ 08002
Phone: 856-324-6156
Toll Free: 888-874-8317
Fax: 856-661-0369
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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.

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