National Injury Help Actos Bladder Cancer Claims Evaluation - ZAP

* Were you or a loved one prescribed ACTOS for Diabetes?
- Yes
- No

* Did you or a loved one take Actos for at least 12 months?
- Yes
- No

* What years did you take ACTOS?

* Have you been diagnosed with bladder cancer while taking Actos?
- Yes
- No

* What year were you diagnosed with Bladder Cancer?

* Are you a non-smoker?
- Yes
- No

*Your evaluation is almost complete. You may be entitled to compensation! If you or a loved one has taken Actos and been diagnosed with Bladder Cancer, we encourage you to contact an experienced legal professional today to evaluate your possible legal rights. The call is free and we only get paid if we collect financial compensation for you. To learn more, please enter your contact information. You can also call us toll free at (800) 214-1010
First Last
Email
Phone Number (your best contact number please)
Street Address Address Line 2 City State ZIP Code
Date
MM slash DD slash YYYY
*Agreements
- By leaving this box checked, I agree that the information viewed is advertising and that you agree to receive future advertisements from Hood National Law Group and/or its partners.
- I agree that submitting this form and the information contained therein does not establish an attorney client relationship.
- I agree that the information submitted will be reviewed by more than one attorney and/or law firm.
- I agree that the information that I will receive in response to the above question is general information and I will not be charged for the information. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.
- I understand that I may receive, and am willing to accept telephone calls and/or SMS text messages from a lawyer/law firm to discuss this submission.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Actos Claims Evaluation

Actos Claims Evaluation

Step 1 of 7