Medical Malpractice Questionnaire

Michael W. Goldstein, Esq. has been practicing New York personal injury law since 1979, including medical malpractice. If you sustained a serious injury, as a result of medical malpractice, please complete and submit the form below

Your Name (required)

Your Email (required)


Date of Improper Medical Treatment

Location of Improper Medical Treatment

Describe the Improper Medical Treatment

Describe Your Injuries and Treatment Caused by the Malpractice



Please click the Submit button. If you do not receive a confirmation message, an error has occurred. Therefore, kindly confirm the required fields (including Name and Email) and verify the security code. Then please submit this form again, or click the reverse arrow in your browser. If you are unable to successfully submit this form, please call us.

Notice: Your submission of this form, or a free telephone consultation, will not constitute an attorney-client relationship.

New York Injury Lawyer Disclaimer: The New York personal injury, motor vehicle accident, product liability, accident,, construction site accident, premises liability, birth injury, wrongful death, negligence or other New York legal information contained in this website is not intended to constitute legal advice, nor to create an attorney-client relationship or lawyer-client relationship. We recommend that you discuss your accident case with a NY lawyer or New York attorney promptly, since there are strict time limitations that apply to New York accidental injury cases. This website is not intended to solicit clients for accident cases outside of New York State. Under New York law, in the event there is no recovery in a contingency fee case, the client is responsible for the expenses of the litigation, including court costs and disbursements.

New York Personal Injury Lawyers and Attorneys New York representing accident victims who have sustained serious injuries in New York City, Manhattan, Bronx, Brooklyn, Queens, Staten Island, Long Island, Nassau County, Suffolk County, Westchester County, Rockland County and upstate New York.

Law Offices of Michael W. Goldstein, a New York personal injury law firm
Attorney Advertising