LAWSUITS NEWS & LEGAL INFORMATION

Ortho Evra Contraceptive Patch (blood clots, stroke, heart attack)

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Defendant:
(who caused the harm?)

Ortho Evra (blood clots, stroke, heart attack)

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

When did you start taking Ortho Evra?

How long have you used Ortho Evra?

Where did you buy Ortho Evra?

Have you experienced an adverse health event?

Yes No

Blood Clot?

Yes No

Stroke?

Yes No

Heart Attack?

Yes No

Would you have used the patch if you were informed that risks associated with it were greater than the pill?

Yes No

Have you ever contacted a lawyer about this?

Yes No

Are you currently working with a lawyer on this?

Yes No

*First name:

*Last name:

*Email address:

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*Phone number(s):

*Zip/Postal Code:

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