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NuvaRing Case Evaluation Form




We currently represent over 200 victims of NuvaRing

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Claim Evaluation Form
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Which birth control device did you or a loved one take?

NuvaRing
Ortho Evra
Both
Other/Don't Know

Did you or a loved one suffer any of the following health problems?:
Stroke
Blood clots (Embolism)
Other (describe below)
* When did you or a loved one use Ortho Evra or NuvaRing? What health effects were suffered?

I agree that the above is not a request for legal advice and that I am not forming an attorney client relationship. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.




Embolisms occur when a clot forms and blocks a blood vessel

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I agree that the above form is not a request for legal advice and that I am not forming an attorney client relationship. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.





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