North Carolina Personal Injury Lawyers: Hardison & Associates  
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Practice Areas: Injuries, Accidents, Workers Compensation
Car Accidents
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     - VA Disability
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Stevens-Johnson Syndrome
ReNu MoistureLoc Contact Solution
Bard Composix Kugel Large Patches

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  Online Case Form: Guidant Defibrillator Pacemakers
Defendant:
(who caused the harm?)
GUIDANT DEFIBRILLATOR PACEMAKER
Title:
(describe the nature of your complaint in one short sentence)
What is the best way to contact you? (time, phone number, etc)
Additional contact information:
Date of Birth: (mm dd yy)
Whom are you inquiring on behalf of? (self, minor, other)
If you are NOT inquiring on your own behalf, what is your relationship?
Is the person deceased? Yes No
If deceased, what is the cause of death as stated on the death certificate?
Date of Death:
Was there an autopsy performed? Yes No
During what period of time was the pacemaker implanted? Start date:
End date:
For what diagnoses or condition was the defibrillator prescribed?
Which Guidant Debfibrillator was Implanted? Ventak Prizm AVT
Prizm 2 DR
Contak Renewal
Contak Renewal 2
Vitality AVT
Renewal 3 AVT
Renewal 4 AVT ICD
Other Debfibrillator
Don't Know
If other, what is the name of defibrillator that was used?
Date pacemaker was implanted:
Is the defibrillator still implanted? Yes No
What medical condition caused prompted the use of a defibrillator?
Please describe any problems or injuries caused by the defibrillator, e.g., electrical shock, audible beeping, irregular heartbeat, but no device response.
   

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Please know that you are not considered a client of this firm until your case has been accepted by us and you have signed a formal retainer agreement.

The information contained in this site is provided as a public service for informational purposes only and is not intended to be a comprehensive statement of the law or, in particular, to contain legal advice. Laws vary from state to state and are subject to change, which could affect the information available on this site. If you have questions regarding any information found on this site, you should consult an attorney who can investigate the particular circumstances of your situation. Persons receiving information found on this site should not act on this information without receiving professional legal counsel. Use of and access to this web site does not create an attorney client relationship between this law firm and the user or browser. The opinions expressed at or through this site are the opinions of the individual author and may not reflect the opinions of the firm or any individual attorney.


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© - Hardison & Associates / ASK LAWYER NC. Attorneys at Law, Raleigh, NC.  - All rights reserved.
North Carolina Personal Injury Law Firm representing Car Accidents, Truck Accidents, Workers Compensation, Social Security Disability Claims,
Nursing Home Abuse & Negligence, Catastrophic, Car, Truck & Other Vehicular Accidents / Injuries
Including Mass Torts such as Vioxx, Stock & Securities Fraud, and Broker Misconduct - Serving Raleigh, Dunn, Durham, Charlotte,
Greensboro, High Point, Southern Pines, Fayetteville and surrounding Wake County, Orange, Johnston,
Chatham, Harnett, Nash, Franklin, Cumberland, NC Counties - Site by Consultwebs.com, Inc. - Webs for Lawyers | Law Firms