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Ethicon Physiomesh
Please complete this claim form to request a free case evaluation from a lawyer listed on LawyersAndSettlements.com.
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Defendant:
Ethicon
*
Describe your complaint:
(briefly describe the damages you have suffered)
Hospital where implant surgery was performed
Type of surgery:
-- please select --
Laparoscopic (telescope)
Laparotomy (open)
Did you experience any of these problems
-- please select --
Migration of Mesh
Breakage of Mesh
Adhesions
Fistula
Obstruction or Perforation
Are you scheduled for a revision/removal/replacement
Yes
No
If scheduled, at what hospital
*
First name:
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Last name:
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Email address:
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Phone number(s):
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Zip/Postal Code:
Best time & way to contact you:
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