Birth Injury & Medical Malpractice
Chicago • Milwaukee
800.564.1707

Free Consultation

What happened to your family wasn't your fault. In the wake of a birth injury or other injury caused by negligence, you need answers. And you shouldn't have to pay to find out your legal rights.

That's why the attorneys at Jeffrey M. Goldberg Law Offices, P.C. offer a free consultation to all potential clients. There's no cost and no obligation - just clear answers about your legal rights and options. You can sit down with an experienced, compassionate attorney at our offices in Chicago or Milwaukee, or we can come to you - at home, in the hospital, or wherever else you need us to be.

To get started, fill out the form on this page and a member of our legal team will be in touch as soon as possible.

Fields marked with an asterisk * are required.

Full Name*

Date of Birth

Street Address*

City*

State*

Zip Code*

Country*

Email*

Home Phone*

Other Phone

Marital Status*
SingleMarriedDivorcedWidowed
Name of Spouse

Occupation

Case Overview*

City Injured In

State Injured In

Name & Address of Persons or Entities You Feel
Caused This Injury

Description of Injuries

Description of Treatment

Still Being Treated*
YesNo
If Yes, What Kind of Treatment Are You Now Getting
And/Or Do You Anticipate in the Future?

Approximate Cost of Medical Bills

Were You Forced To Miss Work?*
YesNo
Approximate Amount of Lost Wages or Benefits

Were You Contacted By An Insurance Company?*
YesNo
Description of Insurance Company Contact

Are You In Contact With Another Lawyer?*
YesNo
If So, Please Provide the Attorney's Name, Address
and Phone Number

Chicago

20 North Clark Street
#3100
Chicago, IL 60602
Phone: 312-236-4146
Fax: 312-236-5913

Milwaukee

600 N. Broadway
Suite 310
Milwaukee, WI 53202
Phone: 414-263-4484