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medical malpractice contact form

Please feel free to contact us by using the form below. You also may contact us via phone, fax or at the address listed below.

Disclaimer:Submitting information to Boxer & Gerson, LLP via this contact page does not mean that Boxer & Gerson, LLP agrees to accept your case or that you have entered into an attorney-client relationship with Boxer & Gerson, LLP.

Law has many important deadlines. These deadlines could bar you from pursuing your case or affect your rights in other ways. If you are concerned about time deadlines, we urge you to contact us by phone at (510) 835-8870. We are not responsible for time deadlines in your case unless and until we have a specific written agreement to represent you.

If you are an existing client of the firm, please call the office to reach the attorney assigned to your case.

First Name Last Name  
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What is the name of doctor, nurse, hospital, or health care provider against whom you may have a claim?


In what city did you get treatment from the health care provider?


What happened that you believe is malpractice?


What injuries did the malpractice cause you?


When did you last get treatment from the doctor, nurse, hospital, or health care provider?

How did you find us?


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If so, which union and local?


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By submitting this form, you agree that this matter may be sent to an attorney(s) who may contact you. You also agree that you have read and understand the disclaimer at the top of this form and that by submitting this form you are not creating a formal attorney-client relationship.



 

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