Do You Have A Case?

FREE Consultation.

(All information kept completely confidential, by law.)

*All fields must be filled in for form to submit.

Your first and last name*
Full name of person who received the medical care in question*
(if yourself, state “self”)
Your relationship to that person*
(if yourself, state “self”)
What is the medical condition or injury that is involved?*
(for example, heart attack, stroke, cancer, brain injury, death, etc.)
How does the medical condition or injury affect the injured person’s daily life?*
(if the injured person is deceased, state “deceased”)
Approximate date(s) that medical care in question was given*
Injured person’s age at time of injury or death*
Please add any additional comments or questions that you may have*
(if none, state ”none”)
Your phone*
Your email*
(to protect confidentiality, please only give an e-mail address that nobody else has access to)
CAPTCHA
Confirmation*
- The submission of this form does not create an attorney-client relationship with the Medical Injury Law Center. Certain rights may be lost by the passage of time, so please follow up with us or another lawyer if you have not heard back from us within 5 business days.

Medical Injury Law Center

Office in Kirkland
We handle cases in all of Washington. Also licensed in Texas and California.

Phone:	1-888-9AskNow 1-888-927-5669 1-206-707-6772	(Toll Free) (Toll Free) (Kirkland)
Fax:	1-888-211-5740	(Toll Free)

MedicalInjuryLawCenter.com

Contact

1-888-9AskNow

(888-927-5669) Toll Free

1-888-211-5740

Fax

Location

Kirkland

Medical Injury Law Center
11335 NE 122nd Way, Suite 105
Kirkland, WA 98034-6933

Contact Us

If your browser does not support forms or you prefer not to use them, you can send e-mail directly to Info@MedicalInjuryLawCenter.com. Please note that the law requires that we keep private and confidential any communications between you and us, and we do in fact keep all such communications private and confidential. If you e-mail us, please use only an e-mail address that nobody else has access to. This is because the use of an e-mail address to which other people have access could conceivably result in the waiver of confidentiality of any such communications.

Also please note that no attorney-client relationship between you and this office will be created by your filling out and submitting a form, e-mailing us a question or comment, or otherwise contacting us. An attorney-client relationship will be formed only if both you and we sign a written attorney fee agreement with each other. There is no charge for you to submit a question or for any initial consultation either by phone, e-mail, or in person.

We try to respond to each inquiry within 5 business days. Please keep in mind that with any electronic correspondence, it is possible for messages not to be delivered. While we make every effort to ensure that messages are handled properly and promptly, if you do not receive a response within 5 business days, please either send a follow-up e-mail to Info@MedicalInjuryLawCenter.com, or call this office directly at 1-888-9AskNow (927-5669).

Free Case Evaluation

If you or a loved one has a serious medical condition or injury, or if a loved one has died, we can help evaluate whether it is a result of medical errors and might be a case that we could help you with. For a free case evaluation, fill out the confidential questionnaire on the left of this webpage or call us toll free at 888-9AskNow (888-927-5669).

We handle cases throughout all of Washington.

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