Have any questions?
Essure® | The FDA Moves to Restrict Sales
Essure | Permanent Contraceptive & Hysterectomy
Hernia Mesh | Bard Sepramesh Hernia Lawsuits
Hernia Mesh | Complications outweigh benefits
Hernia Mesh | Physiomesh & C-Qur Lawsuit
Hernia Mesh | Ethicon Physiomesh Lawsuits
Hernia Mesh | Adverse Reactions
Hernia Mesh | C-Qur Mesh Lawsuits
Hip Implant | V40 Hip Lawsuit Claims
Hip Implant | Stryker V40 hip Lawsuits and Claims
Hip Implant | Stryker V40 hip replacement & Stryker hip replacement lawsuit
IVC Filter | IVC Blood Filter Lawsuits
Knee Implant | Lawsuits and Claims
Roundup | Monsanto Ordered to Pay $289 million for Lymphoma link
Talcum Powder | Ovarian Cancer Talc Lawsuits
Abilify | Global Settlement Likely
Cipro | Cipro Lawsuits
Avelox | Avelox Lawsuits
Levaquin | Levaquin Lawsuit
Invokana | Diabetes Medication Amputation Lawsuits
Onglyza | Heart Failure Class Action Lawyers
Opioids | Painkiller Epidemic Lawsuit
PPI | Gastric Cancer Lawsuit
Taxotere | Taxotere Hair Loss Lawsuits
Valsartan | Blood Pressure Drug Linked to Cancer
Xarelto | Blood Thinner Lawsuits
Zofran | Zofran Birth Injury Lawsuit
Zostavax | Shingles Virus Vaccine Lawsuit
Implant Device Questionnaire
Please complete this short questionnaire to see if you qualify
Step 1 of 6
Is this claim for a hip or knee implant device?
Which side of the body is the device implanted?
Do you have your medical records or implant ID card?
Please select your hip manufacturer:
Smith & Nephew
If you know your hip model, please list here:
When was the device implanted?
What's the name of the hospital where the surgery occurred?
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
After surgery, when did you first experience problems?
Please select the problems you experienced:
Reduced range of motion
Loss of mobility
Loosening or instability
Have you had a revision surgery on the implant?
If you've had any revisions, list years here:
Please provide additional comments to help evaluate your case.
* Based on your responses, you may qualify for compensation!
Full Postal Address
By leaving this box checked, I agree that the information viewed is advertising and that you agree to receive future advertisements from Schmidt National Law Group and/or its partners.
I agree that submitting this form and the information contained therein does not establish an attorney client relationship.
I agree that the information submitted will be reviewed by more than one attorney and/or law firm.
I agree that the information that I will receive in response to the above question is general information and I will not be charged for the information. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.
I understand that I may receive, and am willing to accept, a telephone call from a lawyer/law firm to discuss this submission.
This field is for validation purposes and should be left unchanged.
This iframe contains the logic required to handle Ajax powered Gravity Forms.