Houston Office
3200 Travis, 3rd Floor
Houston, TX 77006
P: 713-529-0025
F: 713-751-0412

Galveston Office
P: 409-762-9090

Toll Free: 888-529-4688
Email Website

Baby Formula Lawsuits

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Title

First Name *

Last Name *

Relationship to Infant? *

Email *

Phone *

Alternate Phone

Address

City

State

Zip

How would you prefer to be contacted? Email Phone Mail

Name of Child

Baby Date of Birth

Was the baby born premature? Yes No

Was the baby given Similac® or Enfamil® ? Yes No

Was the baby diagnosed with necrotizing enterocolitis (NEC)? Yes No

Please provide any additional comments:

Act Now!