Nursing Home Abuse | Injured Henderson

Tell us what happened

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How to reach you

Your name *

Phone *

Email *

Best way to reach you

About what happened

When did it happen? *

Where it happened

What happened? *

Your injuries and treatment so far

About your loved one

Facility name *

Your relationship to the resident

Is your loved one still at the facility?

Who may be responsible

Who do you believe is responsible? (person or company)

How are they connected to what happened?

Their insurance company, if known

Has an insurance company contacted you?

Have you signed anything or given a recorded statement?

Photos and documents

Helpful here: photos of injuries or conditions, medical records, and any letters or emails from the facility. Up to 10 MB per file. Don't worry if you don't have these yet; send what you can.

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