Medical Malpractice / Wrongful Death Intake Form

This is the form when a new client calls with potential medical malpractice claims. If you are wondering what questions we will be asking if you call us, these are the questions we will be asking you about your potential claim. You can know exactly what to expect.

This is very detailed. You do not need to know the answer to every single question. But we do need get the general understanding of what happened in the case and what the gist of any negligence claim could potentially be.

Sample Documents

You can get For a sample attorney-client contingency fee agreement and samples of malpractice pleadings and discovery click here.

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Our lawyers fight for medical malpractice victims. If you are a victim or you are a lawyer who has a case they may wish to refer to us with a fee split consisent with Maryland Rule 1.5, call 800-553-8082 or reach out to us online.

Contact Us For a Free Consultation

If you are hurt in a serious accident or are the victim of medical malpractice, contact our team of lawyers to discuss your case.
Call us now for help at (800) 553-8082

You can also get a FREE no obligation on-line consultation.

Client Reviews

They quite literally worked as hard as if not harder than the doctors to save our lives.
Ron helped me find a clear path that ended with my foot healing and a settlement that was much more than I hope for. Aaron Johnson
Hopefully I won't need it again but if I do, I have definitely found my lawyer for life and I would definitely recommend this office to anyone! Bridget Stevens, Google User
The last case I referred to them settled for $1.2 million. John Selinger
I am so grateful that I was lucky to pick Miller & Zois. Maggie Lauer, Google User
The entire team from the intake Samantha to the lawyer himself (Ron Miller) has been really approachable. Suzette Allen, Google User
The case settled and I got a lot more money than I expected. Ron even fought to reduce how much I owed in medical bills so I could get an even larger settlement. Nchedo Idahosa

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