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Hospital negligence exists in a variety of situations. A hospital is under obligation to be reasonable in its questions about a potential employee’s education, training, licensing. Hospital negligence may result if a hospital does not make appropriate inquiries and as a result allows an inadequate doctor, nurse, or other staff member to treat patients. Hospital negligence may also result if it does not provide enough staff to care for its patients, fails to perform adequate testing, or it improperly admits or discharges patients.

In some cases, a hospital may be held accountable for the actions of its employees. A misdiagnosis, medication error, and other forms of negligent treatment administered by a hospital employee may render the hospital itself liable.

Because hospital negligence actions are very complex, it is imperative that they be started as soon as possible after the negligent conduct occurs.

If you or someone you know has been injured due to hospital negligence, 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 Hospital Negligence 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
Is there anything else that would assist us in
understanding the facts of your case?

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Please tell us exactly what terms you typed into the
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I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
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I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
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I have read and agree with the TERMS AND CONDITIONS
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