Pulmonary Hypertension Treatments
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Fen Phen and Primary Pulmonary Hypertension
If you or a loved one has taken Fen Phen and have pulmonary hypertension (PPH) you or they may be entitled to a substantial compensation package. Your information will be reviewed by our legal team to determine if you are eligible to file for a claim. Your information will be kept strictly confidential and used solely to evaluate your claim. Please review our terms and conditions.

Title:

First Name:

  M. I.

  

 Last Name:

 Address:

 City:

 State:

 Zip Code:

 Phone Number (day):

 Phone Number (eve):

Email Address 

 If this inquiry is not for yourself, please tell us the name of the person? (otherwise skip):

Title:

First Name:

M. I.

Last Name:

What is the Injured's relationship to you?:

Injured's Date of Birth?
(ie mm/dd/19yy) 

 Do you or they have pulmonary hypertension?:

Dates of diagnosis?:

Did you or they take any diet drugs?:

  Yes No

Which ones?:
 What other side effects have you or they been experiencing?

Please briefly describe your concern
 
 I understand that submitting this form does not create a doctor patient or attorney client relationship: Agree


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Pulmonary Hypertension Treatments

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