Medical Malpractice Questionnaire

New York Medical Malpractice Lawyer

Michael W. Goldstein, Esq. has been practicing New York personal injury law since 1979. If you sustained a serious injury, as a result of medical malpractice, please complete and submit the form below

New York Medical Malpractice Lawyer Questionnaire

  1. Has another doctor advised you that the medical treatment was improper?
  2. Did you see another doctor as a result of the injuries or medical conditions that were caused by the improper medical treatment?
  3. Are you currently under a doctor's care for the injuries or medical conditions that were caused by the improper medical treatment?
  4. For security purposes, please answer the question below


Please click the Submit button.  If you do not receive a confirmation message, an error has occurred.  Therefore, kindly confirm the required fields (including Name and Email) and verify your answer to the security question.  Then please submit this form again.  If you are unable to successfully submit this form, please call us.

New York Medical Malpractice Lawyer Disclaimer

Notice: Your submission of this form, or a free telephone consultation, will not constitute an attorney-client relationship.

Visiting our website, submitting any information via questionnaire or email, or discussing your case with us does not create an attorney-client relationship. An attorney-client relationship with our law firm can only be established with the signing of a written retainer agreement prepared by our law firm.

Prior results do not guarantee or predict a similar outcome with respect to any future case or legal matter.

The New York personal injury, accidental injury, serious accident, or other personal injury legal information contained in this website is not intended to constitute legal advice, nor to create an attorney-client relationship or lawyer-client relationship. We recommend that you discuss your accident case with a Personal Injury Attorney or Accident Lawyer practicing law in New York promptly, since there are strict time limitations that apply to New York injury lawsuits.

This website is not intended to solicit clients for accident cases outside of New York State. However, we do represent accident victims who live outside of New York, who sustained fractures or other serious injuries in a motor vehicle collision, hit & run accident, uninsured motorist accident, under-insured motorist collision, motorcycle collision, pedestrian accident, bicycle accident, roller blade accident, in-line skating accident, premises accident, trip & fall accident, construction site accident, or on the job accident that occurred in New York State, as well as wrongful death or accidental death caused by a NY accident.

New York Personal Injury Lawyers and Attorneys New York representing accident victims who have sustained serious injuries in New York City, Manhattan, Bronx, Brooklyn, Queens, Staten Island, Long Island, Nassau County, Suffolk County, Westchester County, Rockland County and upstate New York.

Law Offices of Michael W. Goldstein, a New York personal injury law firm
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