Ketek and Liver Damage

Contact Us | KETEK

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:

Suite:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Fax:

Email:

How old are you (in years) ?

When did you take Ketek?

Start Date: (mm/dd/yy)

End Date: (mm/dd/yy)

Did you develop liver problems:

Yes No

If so, when ?

(mm/dd/yy)

Were you hospitalized ?

Yes No

How long were you hospitalized ?

1-5 days

6-10 days

11-15 days

More than 15 days

Did you have a liver transplant ?

Yes No

Did you have liver surgery ?

Yes No

Please include any additional comments you might have:

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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.

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. Copyright 2006 The Meneo Law Group, All Rights Reserved.