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If you or a loved one were hurt by the use of Zantac® medication, we want to help you.

The information you provide is confidential and will be used by the attorneys at Arnold & Itkin to confirm that we can help you get justice.

If you are interested in having Arnold & Itkin represent you regarding injuries suffered from Zantac, please fully complete this form. After we have had an opportunity to evaluate your matter, which includes, but is not limited to, an ethical evaluation of whether we are in a conflicted position to represent you. Merely submitting information through this form will not make you a client of Arnold & Itkin until a retainer agreement is fully signed. Arnold & Itkin reserves the right to decline any representation for any reason, including, but not limited to a conflict of interest with its other clients. Additionally, the information that you provide should not be confidential or otherwise privileged. By submitting this form, I agree that Arnold & Itkin may collect my information and use it pursuant to the firm’s privacy policy.