PPHLaw.com - PPH - Primary Pulmonary Hypertension
PPH - Primary Pulmonary Hypertension
Home | Flolan Info | Tracleer Info | What Is PPH? | Your Legal Rights | Court Filings
 

PPHLaw.com Contact Form

If you would like more information on your legal rights as related to PPH, please fill out the form below. Hackard & Holt does not release e-mail addresses or personal information. If you would like to contact us by phone, call 1-888-452-5805.

Your Name:

E-mail address to send information to:

Telephone Number (optional):

Do you have proof of your use of a Diet Drug?
Yes No

If yes, what type of proof of use do you have?
To select more than one, press the Control key while you make your selections.

Have you been diagnosed with any heart valve damage?
Yes No

If yes, what was your diagnosis?

What was the date of your echocardiogram?

Have you had a cardiac catheterization?
Yes No

Has your physician discussed the use of Flolan?
Yes No

Any other information you would like to let us know:

I agree that submitting this form does not create an attorney client relationship.

Thank you

Your information will be sent to the e-mail address you specified above.

 

© Copyright 2009 Hackard & Holt. All rights reserved. Documents available from this web site are protected by the copyright laws of the United States and international treaties. Legal notice and disclaimer.  Website maintenance by DCJ Consulting.  If you notice any problems with this website, please contact the webmaster.