Contact UsFen-Phen

We are a nationally recognized law firm, and we are intimately involved with Fen-Phen litigation. We urge you to contact Early, Ludwick, Sweeney & Strauss first.

If you have any questions about Fen-Phen, the AHP Settlement or your legal rights, please fill out the form below. We will do our best to respond to your inquiry within 24 hours and carefully explain your legal rights to you.

First Name:

Last Name:

Street Address:

Suite:

City:

State:          Zip Code:

   

Home Phone:

Work Phone:

Cell Phone:

Fax:

Email:

Are you currently represented by counsel in a Fen-phen claim?

Yes No

Do you have a Pending Green Form Claim with the AHP Settlement Trust?

Yes No

If so, which Level of Matrix compensation did you claim on your Green Form?

Indicate which of the following you have or have received:

A copy of my Pink or Blue Form
A copy of my Green Form
My Diet Drug Claim Number
$6,000 or $3,000 from the Settlement
Matrix Level Compensation Payment
Reimbursement for Cost of Diet Drugs
Free Screening Program Echocardiogram

Are you timely registered with the Fen-phen Settlement?

Yes No

Was your claim for Matrix Level compensation denied?

Yes No

Did you Opt-Out of the 7th Amendment?

Yes No

Has your doctor recommended surgery to repair or replace your diseased valve?

Check all of the following that apply:

I was diagnosed with Primary Pulmonary Hypertension (PPH)
I have undergone a Cardiac Catheterization
I have undergone a Lung Scan
I took or am currently taking Flolan

Have you ever been diagnosed with any of these additional conditions?

Unsure
Bacterial Endocarditis
Pulmonary Hypertension
Arrythimia
Atrial Fibrilation
Atrial Enlargement

Do you have any other information about Fen-Phen or your experience with the drug that you believe may be helpful for us to know? Please tell us more about yourself and your situation including:
  • Your Age, Current line of Work
  • Do you have your Fen-phen prescription records?
  • When was your last echocardiogram?
  • Do you have a copy of your echocardiogram report / videotape?
  • Do you have a Diet Drug Claim Number?
  • Did you file a Green Form? When? Do you have a copy?
  • What Level of compensation did you apply for?
  • Has your claim been audited or denied?
  • Have you received any money for the Settlement?
  • When is the best time to contact you?

Call us Toll Free at 1-800-336-0086