If you or a loved received a metal on metal hip implant, contact the Steinberg Law Firm.

Toll Free

888-529-4688

Email

andrewsteinberg@lawyer.com

Houston
3200 Travis : 3rd Floor
Houston, TX 77006
(713) 529-0025
(713) 751-0412 (fax)

Galveston
 (409) 762-9090

Toll Free
 888-529-4688

andrewsteinberg@lawyer.com
www.thesteinberglawfirm.com

Free Case Review

Fill out the form below if you need additional information or want to discuss a potential claim with an attorney. All inquiries are kept strictly confidential.

* denotes required field
Contact Information
* Title:
* First Name:
* Last Name:
* Relationship to metal on metal hip implant User:
* Email Address:
* Phone:
* Phone (Cell):
* Address:
* City:
* State:
* Zip:

How would you prefer to be contacted?
Email Mail Phone
Case Information
Name of Hip implant User:
Date of birth of Hip implant patient (mm/dd/yyyy):
Age of patient when hip implant was implanted:
Did you or a loved one experience any of the following side effects after having a metal on metal hip implant?
Hip Fracture
Hip Pain
Grinding Sensation
Limitation Of Motion

Date hip replacement surgery occurred:
Manufacturer of hip replacement:
Please describe any adverse symptoms related to replacement:
 
Did adverse reaction make another hip replacement necessary?
Yes
No
If yes, date of additional replacement surgery:
If yes, why was another hip replacement surgery necessary?