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Zyvox
To discuss your
legal options
with The Meneo Law Group please complete the following form. We will do our best to respond to your inquiry within 24 hours and carefully explain your legal rights to you.
First Name:
Last Name:
Street Address:
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Zip Code:
Home Phone:
Work Phone:
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Fax:
Email:
How old are you?
When did you take Zyvox?
Start Date:
(mm/dd/yy)
End Date:
(mm/dd/yy)
Did you develop vision problems:
Yes
No
If so, when ?
(mm/dd/yy)
Were You diagnosed with Optical Neuropathy ?
Yes
No
Did you experience body pain ?
Yes
No
If so, when ?
(mm/dd/yy)
Were You diagnosed with Peripheral Neuropathy ?
Yes
No
Were you hospitalized ?
Yes
No
How long were you hospitalized ?
1-5 days
6-10 days
11-15 days
More than 15 days
Additional Comments:
Please include any additional comments you might have:
Submission of information for review does not create, is not intended to create, and must not be relied upon as creating, an attorney-client relationship. Such a relationship can only be created by the agreement of both the client and the attorney, evidenced by a written retainer agreement that has been signed by client and counter-signed by the attorney
.
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1-888-276-3030
Connecticut
Gold Building
234 Church Street, 10th Floor
New Haven, CT 06510
California Office
384 Forest Avenue
Suite 21
Laguna Beach, CA 92651
If you have questions regarding your legal rights, please
contact us
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Copyright 2006 The Meneo Law Group, All Rights Reserved.