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Bad Robot Surgery Evaluation Form
Please provide us as much information as possible concerning the problems you are experiencing after surgery with the da Vinci Surgical Robot.
Your Name
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Email
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Phone
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Address
City
State
Zip
How would you like us to contact you?
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Phone
Email
Evaluation Information
Please tell us what problems you had with the bad Robot surgery caused by Da Vinci Robot.
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The more details the better.
When and where did the operation take place?
Important Legal Disclaimer
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Yes - I agree that submitting this form and the information contained within does not establish an attorney client relationship and that this information may be shared with more than one expert Attorney or Law firm.
Sponsoring Attorney: Michael D, Weinstein Esquire, 150 White Plains Rd, Suite 404, Tarrytown, NY. New York Professional Responsibility Disclosure: This Web site contains Attorney Advertising; prior results do not guarantee a similar outcome.
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