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Questionnaire

in this section: Jaw Deterioration | Research Center | Fosamax Lawyer | Questionnaire


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Have you been hurt by Fosamax? Fill out the simple questionnaire below

Many people have experienced dangerous health risks while taking Fosamax.

This popular osteoperosis drug has been linked with painful side effects. Learn more about Fosamax to find out if you're at risk by visiting our research page.

The lawyers at Weitz and Luxenberg believe that you deserve to be compensated for your Fosamax-related health conditions. Fill out the questionnaire below to begin the process.

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Please complete the following questionnaire:

First Name
Last Name
Home Phone
Work Phone
Best Time to Call
City and State
Email
When did you start taking Fosamax?
When did you stop taking Fosamax?
How were you taking Fosamax?
What dosage were you taking?
Did you develop Osteonecrosis of the Jaw (Dead Jaw)?Mesothelioma
Lung Cancer
Asbestosis
Other
Not Diagnosed
Yes
No
How long were you taking Fosamax before you developed Osteonecrosis?
Did you have dental work done in the month before the Osteonecrosis developed?Mesothelioma
Lung Cancer
Asbestosis
Other
Not Diagnosed
Yes
No
What type of treatment did you have?
Please describe any ongoing complications:
Additional Comments:


see also:

Fosamax Lawyer Fosamax Lawyer - Have you been hurt by Fosamax? Contact us today
Contact Weitz and Luxenberg to speak with your Fosamax Lawyer today

Research Center Fosamax Attorney Research Center: Learn about the dangers of Fosamax
Fosamax Info Center: Are you at risk? See how an attorney can help

Fosamax Hurt by Fosamax? Find out about Fosamax Lawsuits
Do you have a Fosamax lawsuit? Find out more here
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Case Description:
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$17.5 million — consolidated trial of 5 mesothelioma victims



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