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Vioxx Class Action Lawsuit Information Heart Attack Drug Recall

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Vioxx Class Action Lawsuit Information Heart Attack Drug Recall

VIOXX LAWSUIT - FREE CASE EVALUATION FORM

(No Attorney Fees or Court Costs Charged to Client unless we Recover for you !)

Required Information Indicated by a RED ( * )

Name *:

Address:

City:

State:

Zip:

Email *:

Phone *:

Work Phone :

Cell Phone :

Have you or a family member had a Heart Attack while taking Vioxx ? *

Have you or a family member suffered a Stroke while taking Vioxx ? *

Has any family member died as a result of a sudden cardiac event,
heart attack or stroke while taking Vioxx ? *

How many months have you or the family member taken Vioxx ? *

What was the date of the heart attack, stroke or death ?

Month		Day		Year
	/		/

Comments:

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

Back to Vioxx Class Action Page

viox merck, heart attack drug,

YOU MAY BE ENTITLED TO MONETARY COMPENSATION!

If you have been prescribed and have taken the medication drug Vioxx
YOU MAY BE ENTITLED TO MONETARY COMPENSATION!

Law Offices of Evans Prieston New York, NY (212) 599-2800
Law Offices of JOHN MITCHELL New York, NY (212) 696-9500
Law Offices of Joel Defabio Coral Gables, Fl. Tel. (305) 448-7200
Law Offices of Reemberto Diaz Miami, Fl. (305) 446-0001

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