Toxic Baby Formula (NEC) Lawsuit Qualifier

What is the relation the injured child? *

Was the child born premature? *

Select the formula or milk fed to the child PRIOR to the diagnosis. *

Select any of the following diagnosis that the child has received. *

Has the child had surgeries as a result of the diagnosis or injury? *

Did the child stay in the NICU (newborn intensive care unit) for one week or longer? *

Select any additional injuries after the diagnosis. *

Child's Approximate Date of Birth? *

What state was the child born in? *

Are you working with another law firm regarding these injuries? *

Would you like to speak to a lawyer regarding your potential claim? (Consultations are always free)

Name *

First

Last

Email *

Phone Number *