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Case Facts

1. Were you or a loved one prescribed Reglan?
2. Did you start to take Reglan prior to February 26th 2009?
3. Was injured person diagnosed with any seizure disorder before taking Reglan?
4. How long did you or loved one take Reglan?
5. Did you or loved one experience any of the following symptoms?
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6. Have you or loved one seen a neurologist for the problem?
7. Have you or loved one been diagnosed with Tardive Dyskinesia?
8. Do you have a lawyer representing you on this case?
9. Is there any additional information you would like to include?
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