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If you have taken Neurontin for 'off label' illnesses and have experienced any side effects, or believe that you have been harmed by Neurontin, you have legal rights that might entitle you to compensation.

Please complete the following Free Online Case Evaluation to learn about your legal options.
* required fields

Contact Information:
Full Name: *

Phone:

 *

Additional Phone:
Email Address:

Street:

City:

 *

State:

 *    Zip:

Medical Information:

Why was Neurontin initially prescribed? (examples: epilepsy, anti-convulsant, migranes, bipolar disorder, pain therapy, etc).

How long have you been taking Neurontin?

 / / (dd/mm/year)
What dosage has been prescribed? mg  times a day

Please list any other medications that were being taken at the same time as Neurontin:

Do you experience any of these potential Neurontin side effects?
  Suicidal Tendencies
  High Fever
  Viral Infection
  Convulsions

Have you and your doctor spoken about the dangers and side effects of Neurontin?
 YES NO

Legal Information:

Have you spoken with an attorney regarding your Neurontin case? YES NO

Have you officially retained
legal assistance?

 YES NO

How did you hear about us?

By submitting this form you agree that you are not forming a formal attorney/client relationship with Brown & Crouppen. No such attorney/client relationship will be formed unless and until both parties enter into a written retainer agreement.


 

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