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Filing a PAGCL Legal Claim

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First Name
Last Name
Email Address

Phone Number
Date of Surgery
Type of Surgery
Was Pain Pump used, either before or after Surgery
Yes No

Have you been diagnosed with or have symptoms of PAGCL?
Yes No

Additional Comments

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Disclaimer


By submitting an inquiry to Shoulder Pain Pump Litigation and Parsons Behle & Latimer and Dewsnup, King & Olsen, you agree to the following:

This submission does not constitute a request for legal advice and I understand that I am not forming an attorney-client relationship by submitting this question. I understand that I may only retain an attorney by entering into a written agreement, and that I am not hereby entering into a written agreement at this time. I agree that the information that I will receive in response to the above question is general information and I will not be charged for the response to this email question. I also understand that since this matter may require advice regarding my home state, I agree that local counsel in my home state may be contacted regarding this matter.