LAWSUITS NEWS & LEGAL INFORMATION

Cylert (kidney damage or failure)

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Defendant:
(who caused the harm?)

*Describe your complaint:
(briefly describe the damages you have suffered)

*Have you taken the ADHD drug Clyert?

Yes No

How long were you on this medication?

Have you of a loved one experienced kidney damage?

Yes No

Have you or a loved one experienced kidney failure?

Yes No

Has a loved one died from kidney failure?

Yes No

If yes, what was your relation to this person?

*First name:

*Last name:

*Email address:

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*Phone number(s):

*Zip/Postal Code:

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