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)
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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

Do You Have a Case?

If you or a loved one has a serious medical condition or injury, or if a loved one has died, we can help you find out whether you might have a case of substantial value and be entitled to compensation. We do this for free. However, to do this, we need certain information about your situation and about the medical care that is in question. We can start the process of obtaining that information either (1) by your calling, e-mailing, or faxing us, or (2) by your filling out the online form on the left. Whether or not we take your case, all information that you give to us is confidential and protected from disclosure by law. Please note that until we accept your case and an attorney fee agreement with us is signed, there is no attorney-client relationship.

Free Case Evaluation

« Fill Out the Confidential Questionnaire to the Left

Call, E-mail, or Fax Us:
Click here for our telephone number, e-mail address, and other contact information. Our staff will be happy to speak with you about your potential case.

We handle cases throughout all of Washington.

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