Ortho Evra Attorneys




Nahon, Saharovich & Trotz, PLC is now handling Ortho Evra cases. Memphis Office 488 South Mendenhall Memphis, TN 38117 Phone: 901-683-7000 Fax: 901-462-3350 Toll Free: 877-683-7001 Jackson, TN Office 1408 N. Highland Avenue Suite 309 Jackson, TN 38301 Phone: 731-427-5550 Fax: 731-951-0090 Toll Free: 866-200-9178

Tell us about your claim:
Title:
First Name:
Last Name:
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Office Phone:
Street Address:
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Date of Birth of Injured Person (mm-dd-yyyy):
Date you started taking the drug (mm-yyyy):
Date you stopped taking the drug (mm-yyyy):
Check all that apply:	Did you experience any of the following complications during or after use of Ortho Evra? Blood Clots Deep Vein Thrombosis Pulmonary Embolism Heart Attack Stroke Death
Check one::	Did you smoke? Yes No

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