FREE Case Review Call (410) 337-2200 or fill out our form to request your FREE Case Review. Name(Required) First Last Email(Required) Phone(Required)State of Residence(Required)Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of Columbia (DC)FloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingApproximate year you first began taking PlaquenilChoose a year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Are you currently taking Plaquenil?(Required)Select OneYesNoUnsureApproximate year you stopped taking Plaquenil(Required)Choose a year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Have you been diagnosed with Plaquenil Toxicity? Yes No Other Tell us a little bit about the issues your havingEmailThis field is for validation purposes and should be left unchanged. Send a Text Message(410) 337-2200 Call us Today!(410) 337-2200 uFAQ’sLearn more about Plaquenil Toxicity on our Frequently Asked Questions page. Service AreaWe’re here to help, no matter where you are. You can reach out by calling or texting us at the number above, or simply complete the form below.
