FREE CASE REVIEW
It's Private, Secure and Simple "FREE CASE REVIEW" Details of Your Crestor Legal Case
When did use of Crestor start?
When did use of Crestor end?
Dose of Crestor:
Please describe any medical problems you had while taking Crestor:
Have you had a cardiovascular event or stroke while you were taking Crestor? If so, please describe the event:
List any other medications taken while taking Crestor:
List any heart or blood pressure medications:
Your weight:
Family history of heart disease/stroke:
(parent, sibling, aunt, uncle, grandparent;
please give best estimate of age of event)
Personal history of previous heart attacks:
Personal history of stroke:
Personal history of elevated cholesterol/triglycerides:
(please note if anti cholesterol medication and/or diet
treatment):
Personal smoking history:
Personal history of High Blood Pressure (Hypertension):
Personal history of chest pain/angina:
Personal history of congestive heart failure:
Personal history of phlebitis:
(also called thrombosis or thrombophlebitis;
it basically means blood clots in the veins)
Case Description*
Please explain the details of your case:
Comments / Additional Information.
Is there anything else that would assist us in understanding the facts of your case?
Has any physician told you that the medical problem you had while taking Crestor was related to Crestor?
Yes
No
Do Not Know
Please Note: Statutes of limitation exist which limit the time period in which a case can be brought to trial. As such, it is important to know exactly when and where the incident occured.
(* ) This is a required field
Your Contact Information
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* Last Name:
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Do you currently have an Attorney
No
Yes
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