Gadolinium Case Evaluation Form

Gadolinium based MRI contrasting agents have been known to cause serious or even fatal side effects such as Nephrogenic Systemic Fibrosis, aka. NSF. If you or a loved one have been injured by Gadolinium side effects you may be entitled to compensation. Contact the lawyers of Ennis & Ennis, P.A. today about a Gadolinium drug lawsuit.

Gadolinium

Offices

Ennis & Ennis, P.A. is representing individuals that have been harmed as a result of Gadolinium side effects. If you or a loved one have been harmed as a result of Gadolinium use you may be entitled to compensation. Click here to contact one of our Gadolinium Attorneys about a Gadolinium lawsuit today.

* Required Field

* Name:

* Street Address:

* City:

* State:

* Zip Code:

* Phone Number: (use the following format 555-555-5555)

* Email Address:

* Age:

Occupation:

Whom are you inquiring on behalf of?

If not inquiring on your own behalf what is your relationship?

When was the Gadolinium contrast agent used?

Where any of the following Gadolinium contrast agents used?

Magnavist - Gadopentetate Dimeglumine:

Yes No

MultiHance - Gadobenate Dimeglumine:

Yes No

OmniScan - Gadadiamide:

Yes No

OptiMark - Gadoversetamide:

Yes No

ProHance - Gadoteridol:

Yes No

Have you suffered from any of the following after being injected with a Gadolinium contrasting agent?

Burning:

Yes No

Itching:

Yes No

Swelling:

Yes No

Hardening or tightening of skin:

Yes No

Yellow spots on the whites of the eyes:

Yes No

Joint stiffness:

Yes No

Pain in hipbones or ribs:

Yes No

Muscle weakness:

Yes No

If you have been diagnosed with Nephrogenic Systemic Fibrosis? If so what date/dates were you diagnosed?

Was hospitalization required for any of the above side effects if so how long?

Please describe any other problems that Gadolinium has caused:

Is there a family history of any of the side effects listed above?

Yes No - If so which ones:

How did you hear about us?

If you found us on the internet what search engine did you use?

What search term or keyword did you use to find us?

Additional Information:

Offices:

Washington DC Office
1101 Pennsylvania Ave.
Suite 600
Washington DC 20004
Telephone: 202-756-2972

Miami Office
1111 Brickell Avenue
11th Floor
Miami, FL 33131
Telephone: 305-913-7199

Fort Lauderdale Office
110 E. Broward Blvd.
Suite 1700
Fort Lauderdale, FL 33301
Telephone: 954-315-3934

Free Case Evaluation. Nationwide: 1-800-856-6405