"
*
" indicates required fields
Step
1
of
2
50%
1. Did you receive a BioZorb Marker or another implanted radiographic marking device?
*
---
Yes, received a BioZorb Marker
Yes, but “unknown” device name
Unsure
No, but I have questions
2. Which of the following best describes complications experienced?
*
---
Erosion or Migration
Infection
Fluid build up or seroma
Pain, swelling or rash
Other complications
No Injuries, but I have questions
3. Was the marker surgically removed?
*
---
Yes
Unsure
No
Provide your contact information below to receive your free consultation and claim evaluation.
First Name:
*
Last Name:
*
Phone Number:
*
Email:
*
Details About Case:
*
SMS Consent
I agree and consent to the conditions below.
By checking this box and clicking "Submit", you agree to the Terms & Conditions* of this website and expressly consent to receive calls, text messages or other communications to the numbers provided, even if listed on any Do Not Call registry. Contact may be made by or on behalf of Saiontz & Kirk, P.A. or their co-counsel, regarding this inquiry or marketing for other legal matters. Consent is not a condition for acceptance of services, but if you do not consent you must call Saiontz & Kirk, P.A. directly at 1-800-522-0102. Msg/data rates may apply, text HELP for help or STOP to cancel.
Name
This field is for validation purposes and should be left unchanged.
Δ
*
Case evaluation service sponsored by Saiontz & Kirk, P.A. Submitting this information does not create an attorney-client relationship. In some cases, the sponsoring law firm may associate with other attorneys as co-counsel, at no additional cost.