A significant number of women who used the patch have experienced serious, and sometimes deadly, side-effects.
Options: Email Bookmark Print Search

Ortho Evra Birth Control

If you or a loved one have used Ortho Evra and experienced adverse side effects, please fill out the form below or call us toll-free at 1-866-468-8631.

First Name*

Last Name*

Address

City

State

Zip Code

Phone (day)*

Phone (evening)

Email

Are you inquiring about yourself?*
Yes   No  

If this inquiry is not for you, please tell us the individual's relationship to you.

Injured's First Name (if different than above)

Injured's Last Name (if different than above)

Have you or the person you're inquiring for ever taken Ortho Evra?*
Yes   No  

Please briefly describe the nature of your legal inquiry.

I agree that submitting this form does not create an attorney client relationship and that SimmonsCooper LLC will use the information I am providing to check for conflicts of interest to determine if the firm can assist me with my legal inquiry.*
  

* Required information.

SimmonsCooper LLC respects your privacy. Your information will not be shared with any third parties for marketing purposes.