Contact Us & Free Case Evaluation

Toll Free: 1-800-CP-ALERT

If your child has been injured during childbirth resulting in brain damage or other serious injury, you may be entitled to benefits. Fill out the form below and your submission will be sent to 1-800-CP-ALERT where a lawyer will review your claim. There is no obligation or charge for this free service.

Name: *
Email: *
Phone 1: *
Phone 2:
Best Time to Call:
Address:
City:
State:
Zip Code:
Child's Name:
Child's DOB:
Child's Birth Weight:
Expected Delivery Date:
About Your Case:
Please do not include confidential information
about your case.

* By using this free case evaluation form, you agree
to the Terms and Conditions of use.