Kernicterus Follow-Up Qs

1. Do you already have an attorney for your potential Kernicterus case?
2. Was your child diagnosed with Kernicterus?
3. Is your child still suffering with the effects of Kernicterus?
4. What is your child's date of birth?
5. What is the name and address of the hospital where your child was diagnosed?
6. What treatments did your child receive at he hospital before the diagnosis?
   1. Exchange blood transfusions
   2. Phototherapy
   3. Plasmapheresis
   4. Other (please explain)
   5. None
7. Did you notice yellowing of the eyes and skin before the diagnosis?
8. What level of care does the child require now?
9. Is the Injured deceased?
10. Please provide cause of death
11. Please provide date of death
12. What is your relationship to the injured party?
13. Please provide physical and mailing address for the injured party.
14. Please provide first and last name of parent or legal guardian.
15. Please provide date of birth of parent or legal guardian.
16. Please provide physical and/or mailing address of parent or legal guardian.
17. Best method to be reached.