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Medical Malpractice Potential Client Questionnaire

Dear Potential Client:

Thank you for contacting this firm. We have found that an initial question and answer session in writing is most often the best way to begin the exchange of information in order to respond in a timely manner to a potential client’s satisfaction. Therefore, please complete the following questionnaire. These questions assist us in determining, in our experience and judgment, whether you may have a case and whether we may help you in the prosecution of that case.

Prior to signing a formal representation agreement, you remain free to contact any other attorney or law firm and this firm will take no action to track your statute of limitations nor will we take any measures to preserve your legal rights. A statute of limitations is a time period within which a formal lawsuit must be filed or all rights to compensation are lost. Typically, the statute of limitations in a medical malpractice action is one (1) year from the date of the malpractice action, which can possibly be extended up to three (3) years under certain circumstances. During the review process, it is your responsibility to track the statute of limitations and protect your claim. Should you have concerns about the statute of limitations during the review process, please do not hesitate to contact us, but, again, we are not your attorney, and it is your option to seek other legal representation during the review process.

The Questionnaire below will hopefully allow us to respond to you in only one week. However, reviewing and researching a potential medical malpractice, speaking with medical experts, and evaluating the merits versus costs can often take several weeks. Therefore, should you desire to seek alternative representation, it is in your best interests to contact an attorney at the earliest possible time.

Medical malpractice actions have many procedural hurdles, are expensive to litigate, and are capped in terms of damages by recent legislation and public initiative. It is often our unfortunate responsibility to inform clients that a cost/benefit analysis does not indicate a lawsuit being brought even if a medical provider clearly acted negligently. Should we decline to accept your case for this reason, please remember these unfortunate circumstances at the voting booth the next time insurance companies push for “reform.” Should we accept your case, request more information/documentation or wish to schedule an appointment, we will contact you. Thank you again for your interest in this firm.

Truly Yours,

Bertoldo, Baker, Carter & Smith 7408 W. Sahara Avenue
Las Vegas, NV 89117

Please download and fill out your Medical Malpractice Client Intake Form and upload to bottom of this questionnaire.

  • Accepted file types: pdf.
    Attach Medical Malpractice Client Intake Form PDF
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