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Viagra, Cialis, and Levitra (blindness)
Please complete this claim form to request a free case evaluation from a lawyer listed on BigClassAction.com.
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Defendant:
Viagra, Cialis and Levitra (blindness)
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Describe Your Case:
Have you taken Viagra?
Yes
No
If yes, how long have you taken Viagra?
Have you taken Cialis?
Yes
No
If yes, how long have you taken Cialis?
Have you taken Levitra?
Yes
No
If yes, how long have you taken Levitra?
Did you experience blurred vision?
Yes
No
Did you or a loved one experience blindness?
Yes
No
Have you or a loved one been diagnosed with NAION?
Yes
No
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First name:
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Last name:
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Email address:
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Phone number(s):
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