DO I HAVE A GOOD MALPRACTICE CASE?

Have you or a loved one been harmed by a medical professional in Georgia? Please fill out this form and we will follow up with you shortly.

Name*
First Last
Phone*
Email*
Enter Email Confirm Email
When did the Malpractice Occur?*
MM slash DD slash YYYY
Where did the malpractice occur?*
Georgia city and county.
Please enter the names of the Doctors, Hospitals, or others you believe may have committed malpractice.
This information will be kept private and confidential even if we do not take your case.
Please describe the malpractice.
Please describe and and all physical injuries resulting from the malpractice
Patient's Name
If different from above.
First Last
Patient Age*
Patient Sex*
Patient Marital Status*