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MEDICAL-MALPRACTICE-LAW.com
IS OPERATED BY:
Richard M. Callahan, Esquire
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Swampscott, Massachusetts, 01907
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Free Medical Malpractice Case Evaluation

Drug Interaction

Drug interactions occurs when two or more drugs are taken simultaneously and the combination results in a new "side effect." One of the drugs may be rendered more or less potent, or an entirely new effect may arise. Unfortunately, sometimes the side effects may be dangerous and cause injury or harm to a patient.

Drug manufacturers include labels with their product, indicating specific drugs with which they are not to be taken concurrently. If a doctor should know about a possible conflict between a series of drugs but prescribes them anyway, he may be liable to the patient if the patient suffers injury or harm.

If you or someone you know has been injured due to a drug interaction, you may be entitled to monetary compensation. Please fill out the form below for a free evaluation of your claim by an experienced attorney. There is no cost or obligation for this service.

Free Drug Interaction Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Name of Doctor:
Date of malpractice:	*
City where malpractice occured:	*
State where malpractice occured:	*

What type of procedure, surgery or treatment was performed?
Why do you believe malpractice occurred?
Describe injury resulting from malpractice:
Name and address of Doctor, Hospital, Nursing Home or Healthcare facility:

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
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understanding the facts of your case?

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