Did a mistake made either before, during or after delivery cause your child’s cerebral palsy? Find out the truth now and see if your child is entitled to lifetime benefits.
Fill out the form below.
This service is available only for children born in the United States.
Please use the submission form below or call 1-888-888-5297.
This Evaluation is FREE.
You will receive a response shortly.
Does your child have cerebral palsy or brain damage?
Yes No Not sure How long did mom carry?
40+ weeks 37–40 weeks 32–36 weeks less than 32 weeks Was moms labor induced?
Yes No Not sure Baby’s birth weight?
lbs oz. How did mom deliver?
Natural Emergency C-section Planned C-section Was the delivery difficult?
Yes No Not sure Was the delivery delayed?
Yes No Not sure Was there meconium in the amniotic fluid?
Yes No Not sure Was mom connected to an electronic fetal monitor?
Yes No Not sure Was the baby’s heart rate dropping prior to birth?
Yes No Not sure Did the doctor use forceps or vacuum extraction?
Yes No Not Sure Was the baby breathing after birth?
Yes No Not sure Did the baby require resuscitation / CPR?
Yes No Not sure Did your baby have seizures, shakes or tremors within 48 hours after delivery?
Yes No Not sure Was your baby transferred to the Neonatal Intensive care Unit?
Yes.. (How long?) No Not sure Did mom have high blood pressure or diabetes?
Yes No Not sure Did mom have fever during labor?
Yes No Not sure Was the pregnancy high risk?
Yes No Not sure Did your baby have an MRI, Ultrasound, or CT of the brain?
Yes No Not sure *Your first name
*Your last name
*Phone number with area code
Work number with area code
Cell number with area code
Alternate number with area code
E-mail address
Home address
City
State
Zip code
Child’s first name
Child’s last name
*Child’s date of birth (mm/dd/yyyy)
// *State of birth
In the space provided, tell us in your own words what you feel went wrong.
You will receive a response shortly.
*Required fields
