REQUEST MORE INFORMATION  

First Name:
Last Name:
E-mail:
Phone:
Address:
 
City:
State:
Zipcode:
Dates when drug was taken:
From  
To  
Date of birth of child that was given Reglan:
 
Did child develop Tardive Dyskinesia?
Yes   No
Please describe child's injuries:
Philadelphia Lawyers - Pennsylvania Lawsuits at Monheit Law

Law Offices of Michael Monheit 1368 Barrowdale Road  Rydal, PA  19046
Call Us Toll Free: 866-761-1385  P: 215-840-6573  E: Michael@Monheit.com