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CPAP - Lawsuit
First Name
Last Name
Email Address
Phone Number
Did you use a Philips brand machine?
Yes
No
Unsure
Did you seek medical treatment for your injury?
Yes
No
Unsure
Have you suffered any of the following injuries as a result of using a CPAP, BIPAP or ventilator machine?
Head, neck, liver, lung, or kidney cancer
Damage to the kidneys, liver, or lungs
Other injury
Unsure
Not injured
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