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Please complete the form below to contact an experienced personal injury Yaz attorney at Lieff Cabraser about your experience with the Yaz, Yasmin, Ocella, or Gianvi birth control drugs. One of our Yaz lawyers will promptly and carefully review your case and inform you of your legal rights. There is no charge or obligation for our determination of whether you are eligible to file a Yaz, Yasmin, Ocella, or Gianvi lawsuit.

You may also call us toll-free at 1-888-321-1510 and ask to speak to lawyer Paulina do Amaral.

Please note: Completion of this form does not obligate Lieff Cabraser to represent you. We can only serve as your attorney if we both agree in writing. Please read our disclaimer.

First name*
Last name*
Street
City
State
Zip
Telephone
E-mail*
   

   
Are you currently represented by an attorney?
   
What age were you or the family member when Yasmin or Yaz use began?
   
What was the date you first used Yasmin or Yaz?
   
When did you stop using Yasmin or Yaz?
   
Do you or the family member smoke (or did you do so during the time you or the family member used Yasmin or Yaz)?
   
Did you or the family member experience serious medical complications while using Yasmin or Yaz?
   
If yes, please list any such serious medical complications:
   
If you or a family member suffered any of the above serious medical complications, what date(s) did they occur?
   
Did you or the family member see a doctor concerning these medical complications?
   
If yes, what was the result of seeing the doctor?
   
Comments & questions:
   
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