Thank you for contacting this firm. We have found that an initial question and answer session in writing is most often the best way to begin the exchange of information in order to respond in a timely manner to a potential client’s satisfaction. Therefore, please complete the following questionnaire. These questions assist us in determining, in our experience and judgment, whether you may have a case and whether we can help you in the prosecution of that case. 

Prior to signing a formal representation agreement, you remain free to contact any other attorney or law firm and this firm will take no action to track your statute of limitations nor will we take any measures to preserve your legal rights. A statute of limitations is a time period within which a formal lawsuit must be filed or all rights to compensation are lost. Typically, the statute of limitations in a medical malpractice action is one (1) year from the date of the malpractice action, which can possibly be extended up to three (3) years under certain circumstances. During the review process, it is your responsibility to track the statute of limitations and protect your claim. Should you have concerns about the statute of limitations during the review process, please do not hesitate to contact us, but, again, we are not your attorney, and it is your option to seek other legal representation during the review process.

The Questionnaire attached will hopefully allow us to respond to you within 3 weeks.

However, reviewing and researching a potential medical malpractice, speaking with medical experts, and evaluating the merits versus costs can often take longer. Therefore, should you desire to seek alternative representation, it is in your best interests to contact an attorney at the earliest possible
time.

Medical malpractice actions in Nevada have many procedural hurdles, are expensive to litigate, and are capped in terms of damages by legislation and public initiative. It is often our unfortunate responsibility to inform clients that a cost/benefit analysis does not indicate a lawsuit being brought even if a medical provider clearly acted negligently. Should we decline to accept your case for this reason, please remember these unfortunate circumstances at the voting booth the next time insurance companies push for “reform.”

Should we accept your case, request more information/documentation or wish to schedule
an appointment, we will contact you. Thank you again for your interest in this firm.

Yours Truly,
SPRINGBERG LAW FIRM

    IDENTITY OF INDIVIDUAL REPORTING INJURY:
    Date*
    INFORMATION ABOUT INJURED PERSON:
    The following information is about me:
    If “No”, my relationship to injured is:
    IDENTITY OF INJURED OR DECEASED PERSON:
    Date of Birth*
    Marital Status
    Date of injury or death
    Date you first realized injury or death was due to medical malpractice (Date of Discovery)
    If, death, was an autopsy performed:
    Total of medical bills, before health insurance payments, that is related to the injury
    or death (Note: If you did not receive bills, you can find the total amount billed on
    the Explanation of Benefits from your health insurance company
    Legal Information:
    Have you contacted other lawyers about your potential case?
    If “Yes”, did any lawyer agree to represent you?
    Are you still being represented by that lawyer?YesNo
    Insurance Information:
    Have you been contacted by the lawyer or insurance Company of the person / doctor/ hospital / other Healthcare provider believed to be responsible for the injury?
    Documents:
    Do you have complete copy of chart/medical records, medical bills, EOBs or other related documents in your possession?
    Other Information:

    ** Be advised that there is a limited period of time in which to file a medical malpractice claim in Nevada. You have one (1) year from the date you knew, or should have known, with reasonable diligence, that the injuries or death were the result of medical malpractice. **