Contact us for a free cass evaluation

If you or a loved one are struggling with opiate painkiller addiction due to a doctor’s negligent prescriptions, we strenuously encourage you to reach out to our office. Doing nothing could have devastating results for your family. Don’t let inaction turn into regret, and help us fight this worsening epidemic.

Call our law office toll-free at (866) 568-2275 or complete our form for a FREE, no-obligation prescription drug case evaluation.

1. Has someone close to you suffered an accidental death while taking prescription pain relievers?:

Yes No

(If you answered "No," please skip the following questions and go directly to the Contact Information section at the end of this form. If you answered "Yes," please answer the following:)

2. What was the person's name?:

3. Was the cause of death established by autopsy and toxicology testing?: (Yes, No)

Yes No

4. What prescription drug(s) was implicated in the death? (e.g. Methadone, Oxycontin, Oxycodone [Percocet], Vicodin, Valium, Xanax or Suboxone):

5. Please check if the person was married:

6. Please check if the person had children:

7. Additional information about your loss:

Your Contact Information

* Name

* Email

Phone

* I understand that no attorney-client relationship exists without a specific written retainer agreement between myself and a law firm.