This Questionnaire is for persons who have suffered damage as a consequence of Invokana .

Any information provided to us by way of answering the Questionnaire will be kept in the strictest confidence. We will not release your identity to anyone without your express permission.

If you would like to consult with one of the firm’s lawyers, on a confidential, no obligation, basis, please complete the Questionnaire and contact us by telephone or email.

GET A FREE EVALUATION OF YOUR CASE.

THERE IS NO FEE UNLESS WE WIN YOUR CASE.

COMPLETING THIS QUESTIONNAIRE DOES NOT ESTABLISH A SOLICITOR-CLIENT RELATIONSHIP WITH THE LAW FIRM. THE LAW FIRM WILL NOT BE RETAINED UNTIL IT RECEIVES A SIGNED RETAINER AGREEMENT.