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East Coast Office: Sarasota

Location: Our main office is located in the Northern Trust Plaza building in downtown Sarasota, FL near Ringling Blvd. and South Pineapple Avenue.

Address: 1515 Ringling Blvd., Suite 700, Sarasota FL 34236

Parking:

• Garage parking is available in the Northern Trust Plaza building.

West Coast Office: Seattle

Location: Our west coast office is located in downtown Seattle, WA in the Puget Sound Plaza.  

Address: 1325 4th Avenue, Suite 1730, Seattle, WA 98101

Parking:

• Garage parking is available in the Puget Sound Plaza Building. (315 Union Street, Seattle, WA, USA)
• If you’d like to prepay and reserve your parking spot. Visit: https://parkabm.com/facilities/puget-sound-plaza-garage-parking/

Capital Office: Washington D.C.

Location: Our east coast office is located in Washington D.C

Address: 1015 15th Street Northwest, Suite 1125, Washington, DC 20005

Parking:

• There is parking available on the street near the building, however, the spaces can be limited. Prices vary depending on meter costs. Garage parking is available next to the office at the front of the building. (1015 15th St NW, Washington, DC 20005) 
• You may access the Colonial Parking website if you’d like to prepay and reserve your parking spot. Visit: https://www.ecolonial.com/park-with-us/parking-locator
• For more details. Please note, the parking garage closes daily at 10pm and is not accessible without a keycard/fob before or after business hours. 

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Name(Required)

First Last

Email(Required)

Phone

Areas of Practice(Required)

Please Select...Vaccine InjuryMetal on Metal Hip ReplacementsOzempic, Trulicity, Mounjaro, Wegovy, Rybelsus, ZepboundDepo-ProveraKratom LawsuitsBoars Head Listeria OutbreakIndian LawFederal Takings/Eviction MoratoriumRails to TrailsOther

Is This About a COVID-19 Vaccine Injury?(Required)

Please Select..YESNO

Approximate month and/or year of vaccination:(Required)

Name of the vaccine or vaccines you got:(Required)

Flu / Influenza

Tetanus

Pneumonia / Pneumococcal

Chickenpox / Varicella

Measles, Mumps, Rubella (MMR or MMRV)

HPV / Gardasil

Whooping Cough / Pertussis

Rotavirus

Hepatitis A or Hepatitis B

Meningitis / Meningococcal

DTaP (Diptheria, Tetanus, and Pertussis)

Hib / Haemophilus Influenzae type b

Polio

Other non-COVID vaccine

Have you seen a doctor or medical professional for treatment?

Please Select..YESNO

What was your diagnosis?

Name/Brand of Hip Implant:(Required)

Please Select..BiometJohnson & Johnson DePuy PinnacleDePuy ASRZimmerStrykerWright MedicalOtherI Don’t Know

Year of Original Hip Replacement Surgery:(Required)

Did your doctor talk to you about metallosis, pseudotumors, high metal levels in your blood, bone loss, osteolysis, or joint loosening?

Please Select..YESNO

Did You Have Revision Surgery or Are You Scheduled for Revision Surgery?(Required)

Please Select..YESNO

Date of revision surgery or upcoming revision surgery

Did you get a recall letter or notification?

Please Select..YESNO

Did You Have Revision Surgery or Are You Scheduled for Revision Surgery?(Required)

Please Select..YESNO

Names of the Kratom brands used

Type of Injury from Kratom

Please Select..Death of Family Member or FriendMedical Reaction Like Seizures, Heart Problems, Organ Failure, Etc.Addiction For Which You Are Getting TreatmentOther

If there is an autopsy report, what was the cause of death?

If there is a toxicology report, what substances are listed?

Have you seen a medical provider about the kratom injury?

Please Select...YESNO

What is your medical diagnosis?

Are you still using kratom?

Please Select...YESNO

Have you gotten treatment for addiction or gone to rehab?

Please Select...YESNO

Are you a member of a tribe?

Please Select..YESNO

Is your question about a tribal matter?

Please Select..YESNO

What is the name of the tribe:

What is the tribe's location?

Did you take any of the following medications?

Ozempic

Wegovy

Mounjaro

Trulicity

Rybelsus

Zepbound

Other

Was your medication the name brand or generic/compounded?

Name Brand

Generic/Compounded

I don't know

What is the name of the pharmacy or website where you ordered the prescription?

Which form of medication did you use?

Pre-loaded injection pen

Vial of medication with syringe injection

Pill form

Other

When did you start taking the GLP-1 medication? (month and year)

Have you stopped taking it?

Please Select..YesNo

When did you stop taking the medication? (Month and year)

Have you been diagnosed with a medical condition by a doctor after taking the medication?(Required)

Please Select..YesNo

What is the diagnosis or condition:(Required)

What kind of medical care did you undergo for new or worsening symptoms AFTER you started taking the medicine? Check all that apply.

Surgery

Hospitalized for one or more nights

Urgent care or ER visit

Treatment by primary care doctor or specialist

Other

No Medical Treatment Yet

If other, describe the medical care you received:

Do you have documentation to show you were prescribed and/or filled the prescription for the drug? Please check all that apply.

Photo of medication packaging

Paper prescription

Pharmacy records

Online medical records

Medication packaging or box with prescription label

Emails from medical provider or pharmacy

Other

None

Upload images or other proof of prescription here.

Drop files here or Select files

Max. file size: 50 MB.

Upload any medical records or documents showing your diagnosis or injury from taking the medication.

Drop files here or Select files

Max. file size: 50 MB.

Tell us if there are additional details about your situation we should know about.

Are you contacting us on behalf of a deceased family member/friend?

Please Select..YESNO

Did you experience a permanent injury from eating the contaminated meat?

Please Select..YESNO

What kind of medical treatment did you undergo because of the listeria poisoning?

Do you have receipts or the packaging from the recalled Boar's Head Deli meats?

Please Select..YESNO

What year did you first start getting Depo Provera shots?

About how many injections of Depo-Provera have you had?

What is your diagnosis after taking Depo-Provera?(Required)

Name of the clinic or medical provider where you got the prescription for Depo-provera?

Please add additional information about what has happened.

I agree to the Terms and Conditions outlined in this link by submitting this information to mctlaw.

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As an experienced leader in these types of lawsuits, we were confident the firm would have the expertise. However, what surprised us most was the high level of excellent customer service from the firm’s staff!

Pat R.

I can’t recommend this firm enough. They have an outstanding team that truly care for their clients…I have been awarded a fair six figure settlement.

Nate M.

When I say “they went to bat” for me…this Law Firm literally did just that. They persevered to bring the hard-nosed Manufacturer to settle and provide me some recompense for everything I had to endure which led to this suit.

Me’Chelle

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