Get Matched to Top Local Lawyers
Complete these questions and get a customized, timely response from prescreened and member referred Lawyers that are interested in working with you. You choose the Lawyer that best meets your needs. No Cost.
1) What type of negligence is alleged to have occurred?  [required]
2) What type of medical care was being provided at the time that the negligence is alleged to have occurred?  [required]
3) When was the medical care provided (month & year)?  [required]
4) What injury(ies) resulted from the alleged negligent medical care?  [required]
5) When did you become aware of these injuries?  [required]
6) Please indicate how you would prefer to to pay for the services of an attorney, should you hire one to help you with your legal matter. Note: there is no charge to sumbit your request.  [required]
Hourly Rate
Retainer
Flat Fee
Contingency
Not Sure
7) Comments or Details:

I want responses from Lawyers that serve:  [required]
8)
ZIP Code:  -- OR --
City/State 

Contact Information:
9)
First Name: [required]
 Last Name: [required]
10)Email Address: [required]
11)
Day Time Phone: [required]
()-x		 Evening Phone:
()-
12)
Best Time: [required]

Terms of Service
13)I acknowledge that I have read and I agree to the TERMS AND CONDITIONS of this service [required]

Do not send confidential information via this service, as others may intercept it. No attorney-client relationship is created and the information is not privileged or confidential. Respond.com or any of its network or affiliate sites do not offer legal advice or receive any legal fees. This is not a Lawyer Referral Service. You are responsible for selecting an attorney. Attorneys are not obligated to take your matter merely because you sent it through the service or because they responded to your request
X
You Are Almost Connected To Local Businesses That Can Help...

  Why do I need to give out my contact information? We require that you to provide complete and valid contact information in order for businesses to contact you about your request for services.
  What About Privacy? Respond only distributes your contact information to a maximum of 5 local businesses. Never anymore.
  Will I Get Spam Email? Respond only communicates with you about your request for services, we never sell your information to 3rd parties looking to sell you unrelated products or services.