1869 Upper Water StreetSuite PH 301, Pontac HouseHALIFAX, NS B3J 1S9www.wagners.coEmail: [email protected]
Completing this form is the first step in a medical malpractice claim with Wagners. It is required for our team to start the process. Additional questions and details will be requested based on your individual situation after we have reviewed this intake form. Please allow 1 to 3 business days for us to review your information before we can respond.
If you are unable to complete this form due to disability or technology limitations, please phone to schedule a phone appointment to have an assistant assist you in completing this form. Please have a copy of the form with you during your appointment to complete the form. Alternatively, we can mail you a paper version for you to complete by hand.
Thank-you for reaching out to Wagners, we will be in contact soon.
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