Essure Problems Compensation | FH - Essure Problems Compensation

FH - Essure Problems Compensation

EssureProblems-FH

Step 1 of 4

Did you have the Essure device implanted?
- Yes
- No

Did you experience one one or more of the following complications? (Organ perforation, Severe Bleeding, Severe Cramping, Severe Pain, Metal Poisoning, Taste of metal, Hysterectomy)
- Yes
- No

Did the complications result in a removal of the device, partial removal, or do you have a removal scheduled?
- Yes
- No
If no: Please Explain why you have not had the Essure device removed yet.
Has a Dr. recommended that you remove the Essure device?*
- Yes
- No

First Name*
Last Name*
Email*
Phone Number*
State*