Adderall Lawyers at Anapol Schwartz | Philadelphia Pennsylvania Attorneys at Law
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About Adderall

 

Do I have an Adderall case?
* Required Fields.
* Click on the Disclaimer, below, for Terms

PERSONAL INFORMATION

First Name:
Last Name:
E-mail Address:
Address:
City:
State:
Zipcode:
Phone: () - ext.

CASE INFORMATION

Has a doctor said that you, a family member, or some other person you know had a serious side effect caused by Adderall?
Yes
No
Please describe:
Was Adderall a contributing factor in his or her death?
Yes
No
Please indicate which condition(s) the doctor diagnosed; check all that apply:
Sudden Unexplained Death (SUD)
Cardiovascular Problems
Myocardial infarction
Unstable angina
Cardiac thrombus
 Resuscitated cardiac arrest
Ischemic stroke
Transient ischemic attacks (TIA)
Other adverse side effect(s):
Would the case you are describing be a personal injury case or a wrongful death case:
Is this for you or someone else, and if it is for someone else, what is his or her relationship to you?
What was the date of the initial diagnosis of the Adderall side effect:
If there was a death from Adderall, on what date did it occur:
What is the date of birth of the person who had an adverse reaction to Adderall:
Has a lawsuit been filed concerning the Adderall side effect:
Yes
No
What dosage of Adderall was prescribed? (See pictures to determine dosage)

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