
	New York personal injury lawyers handling personal injury, medical malpractice, wrongful death, car accident, truck accident, brain injury and other personal injury claims. Free consultations online or call us toll free: (888) 423-4477.

New York Personal Injury Lawyers

Providing Personal Injury Lawyers in New York State

Airplane Crashes
Asbestos
Birth Injuries
Brain Injury Lawyers
Car Accidents
Construction Site Deaths
Defective Drugs
Dog Bite / Dog Attack
Head & Brain Injuries
Medical Malpractice Lawyers
Motorcycle Accidents
Nursing Home Abuse
Personal Injury
Plane Accident Deaths
Premises Liability
Product Liability
Psychiatric Malpractice
ReNu Contact Lens Alert
Sexual Assault
Spine Injuries
SSI/SSDI
TBI
Truck Accidents
Workplace Injuries
Wrongful Death

Free Consultation from a New York Lawyer

ReNu with Moistureloc contact lens solution has been associated with a serious fungal infection of the cornea, Fusarium Keratitis. These infections cause cause serious problems, such as diminished eyesight (increased astigmatism) or even result in the need for a corneal transplant.

If you or a loved one has been injured by ReNu with Moistereloc contact lense solution, it is important you contact an attorney immediately to discuss your legal rights. You may be entitled to monetary compensation. Please complete the form below with as much detail as possible. Upon submitting your claim, an attorney will review your information and may contact you to discuss your case.

Free ReNu Contact Lens Alert Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Accident:	*
City where accident occured:	*
State where accident occured:	*

Please briefly explain the incident that caused the injury:
Who do you believe was at fault in causing the injury, and what do you believe they did wrong?
Describe the injuries in detail:

Do you believe the injuries are permanent?

Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
Is there anything else that would assist us in
understanding the facts of your case?

To Better Serve You:

Please tell us how you found us? If "other" please specify.

Please specify how you found us (if other than above):

If you found us using a search engine,
please tell us which search engine?

Please tell us exactly what terms you typed into the
search engine to find us? (i.e. Personal Injury Lawyers)

I understand that by filling out this free consultation form I am not forming an attorney client relationship. I understand that I may only retain an attorney by entering into a fee agreement and that by submitting this form I am not entering into a fee agreement. I understand that not all submissions may receive a response.
Yes No

I agree that the above does not constitute a request for legal advice. I agree that any information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. I agree that if this matter requires advice regarding my home state, local counsel may be contacted for referral of this matter. I understand that email is not secure and thus I am not forming a confidential relationship.
Yes No

I have read and agree with the TERMS AND CONDITIONS
Yes No

By Clicking the box below, I agree to submit my case for a free case evaluation:

* = Required Fields

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