Do You Have A Case?

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(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)
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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

Disclaimer

Informational Purposes – Not Legal Advice – The Medical Injury Law Center is a trade name under which Attorney John Ferguson practices law in Washington State. This website has been prepared by the Medical Injury Law Center for general informational and educational purposes only. It does not constitute legal advice and should not be relied upon as such. The unique facts of your case will affect whether any of the statements in this website might apply to your situation. Moreover, any statements about the law contained in this website, although believed to be current when the website was created, may now be out of date. For legal advice, you will need to discuss the specific facts of your case with Attorney Ferguson or another licensed attorney.
No Attorney-Client Relationship – The use of this website, and the sending or receipt of information by you to us or by us to you, does not by itself create an attorney-client relationship between you and the Medical Injury Law Center or any lawyer at the Center. That relationship is created only when you and we agree that we will be your attorney and you and we sign an Attorney Fee Contract.
Confidentiality – The Medical Injury Law Center will keep information provided to us private and confidential, as required by law.
Advertisement/Marketing – This website is a Washington Electronic Media Advertisement. It is not intended to be an advertisement or solicitation outside the state of Washington. The law practice of the Medical Injury Law Center is limited to Washington State and federal matters, although Attorney John Ferguson may also represent clients in California and Texas, as well states where he may be admitted pro haec vice (which means, “for the purposes of the single lawsuit”).
No Guarantees – Any statement, testimonial, or endorsement contained in this website does not constitute a guarantee, warranty, or prediction regarding the ultimate result or outcome of your legal matter. If any result of any legal matter is portrayed in this website, please note that the result was dependent on the facts of that particular case, and that the results would differ if based on different facts, for example, the facts of your case. The cases and results set out in this website were handled and obtained by Attorney Ferguson in various of the states in which he is licensed.
Links – Any link from this website to the website of a private, governmental, educational, or other for-profit or non-profit entity’s website does not state or imply the existence of a relationship between the Medical Injury Law Center and that entity, nor is it intended to be a referral or endorsement of the linked entity or website.

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