SL.com - Exactech - Formstack

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First Name*

Last Name*

Phone Number*

Email*

Did you or a loved one have a hip, knee, or ankle replacement surgery?*

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Was the replacement made by Exactech?*

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Have there been side effects?*

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Yes, I understand and agree that submitting this form does not create an attorney-client relationship and that the information I submit is not confidential or privileged and may be shared for example with our co-counsel. I further understand and agree to the Privacy Policy & Terms of Use.

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