Defibrillator Questionnaire

Name:

Address:

E-Mail Address:

Telephone or Cell Number:

When did you have your defibrillator inserted?

Why did you have your defibrillator inserted?

At what hospital was your defibrillator inserted?

Comments:

Do you have a case?

Request a Free Medical Power of Attorney and Living Will

Recent Blog Posts

Lawsuit featured in New York Times
By: Dino Colombo | 15. May 2012 The New York Times Features West Virginia Lawsuit to Highlight the “Deadliest Danger” to Oil and Natural Gas Field Workers and Drivers on America’s Highways. Read More

West Virginia Texting While Driving Bill Passes
By: Dino Colombo | 10. March 2012 The House passed the texting and hand-held cell phone ban by a vote of 87-12. All local delegates voted for the bill. Read More

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Colombo & Stuhr PLLC law firm represents clients in West Virginia, including Bridgeport, Buckhannon, Clarksburg, Elkins, Fairmont, Grafton, Kingwood, Morgantown, Star City, Wheeling, and all communities of Barbour County, Braxton County, Calhoun County, Doddridge County, Gilmer County, Harrison County, Lewis County, Marion County, Preston County, Randolph County, Taylor County, Tucker County, Upshur County and Wood County.

We handle car accidents, motorcycle accidents, medical malpractice, and criminal defense. Call us anytime toll free at 888-860-1414 for a free consultation.