Physician Lawsuit Abuse Questionnaire
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1. Your Lawsuit Abuse Experience
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1
. Please describe the lawsuit abuse situation you have or are experiencing: (up to 250 words)
Please describe the lawsuit abuse situation you have or are experiencing: (up to 250 words)
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2
. In what year did this situation start?
Before 1998
1998
1999
2000
2001
2002
2003
2004
2005
In what year did this situation start?
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3
. In what year did this situation end?
Ongoing
Before 1998
1998
1999
2000
2001
2002
2003
2004
2005
In what year did this situation end?
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4
. Please identify the impact this situation or incident has had on you and your practice. Please check as many boxes below as apply to your situation.
Please identify the impact this situation or incident has had on you and your practice. Please check as many boxes below as apply to your situation.
Closed my practice
Downsized my practice
Stopped taking new patients
Laid-off some or all of my staff
Significant increase in medical malpractice insurance costs
Could not get medical malpractice insurance
Switched practice specialty
Decided to move to another state with better liability laws
Declared bankruptcy
Went to work for a hospital organization
Paid significant legal expenses
Lost my medical license
Other (please specify)
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5
. What medical services were you providing at the time of the incident or when the situation started?
What medical services were you providing at the time of the incident or when the situation started?
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6
. In what CITY and STATE is (was) your medical practice located?
In what CITY and STATE is (was) your medical practice located?
7
. If your lawsuit abuse story is about a specific lawsuit, what is the name of the plaintiff's law firm that handled the lawsuit against you?
If your lawsuit abuse story is about a specific lawsuit, what is the name of the plaintiff's law firm that handled the lawsuit against you?
8
. If possible, please tell us the name of the lead attorney or partner from the law firm that sued you.
If possible, please tell us the name of the lead attorney or partner from the law firm that sued you.
9
. In what CITY and STATE is this law firm located?
In what CITY and STATE is this law firm located?
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