Jump to Navigation
Tell us about your legal concern

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Medical Malpractice Contact Form

Medical malpractice is not limited to medical doctors. It applies also to osteopaths, nurses, dentists, health care facilities and others providing health care services. If you have questions about a potential medical malpractice claim, contact our firm to schedule a consultation with an experienced personal injury attorney.

Learn About Your Medical Negligence Options

The law on medical malpractice can be very complex. While reading about it on the Internet is a good start, the best way to learn about your options is to speak with a lawyer. If you or a loved one has been injured as a result of medical errors committed by a doctor, clinic or hospital, contact the Champaign-Urbana and Danville, Illinois, locations of Patel & Lehman, PC, by calling us toll free at 888-341-0748, locally at 217-903-4867 or by completing our online contact form to schedule a free consultation with an attorney.

Thank you for contacting Patel & Lehman, PC. Your message has been sent.

Call us now

or use the form below.

Medical Malpractice Contact Form

Name

Email Address

Phone Number

What is the identity of the doctor and/or hospital in question?

When did you begin the medical treatment in question? When did the treatment end?

What occurred that leads you to believe a health care professional caused you harm?

Has any health care professional apologized for the results of your care?
Yes  No 

Has anyone told you that the medical care you received caused you an injury?

Did anyone discuss the risks of the treatment or medication at issue with you?
Yes  No 

Did you sign any documents acknowledging you were aware of the risks of treatment?
Yes  No 

Did you sign an arbitration agreement prior to commencing the medical care at issue?
Yes  No 

Did you have a pre-existing relationship with the doctor in question?

Was the physician in question assigned to you by a hospital?
Yes  No 

Why did you go to the doctor/hospital? What happened?

What is the current status of that condition?

What were you diagnosed with?

What treatment did you receive? What were the results of that treatment?

Are you currently under a doctor's care? For what?

What is your diagnosis? Prognosis?

Copyright ©2009 FindLaw, a Thomson Business

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

Back to Main