Primary Pulmonary Hypertension

PRIMARY PULMONARY HYPERTENSION CLAIM FORM

If you or a loved one have been diagnosed with primary pulmonary hypertension (PPH) after taking Fen Phen or ephedra, it is important to act immediately. All states have laws limiting the time to file a claim. Please fill out the form and a lawyer will review your information within a few days.

Name:
Address:
City:
State:
Zip:
Day phone:
Evening phone:
Email Address:

Did you use Fen-Phen (or Redux or Pondimin)?	Yes	No
Did you use Ephedra (or ephedrine)?	Yes	No
Dates (approx.) you took Fen-phen and/or ephedra?
Have you had an echiocardiogram?	Yes	No
Have you been diagnosed with heart valve damage?	Yes	No
Have you been diagnosed with PPH?	Yes	No

Describe Injury/Problem:

Primary-Pulmonary-Hypertension.com is a resource for consumers and lawyers about Fen Phen and PPH lawsuits.