Records & Forms

Opioid Settlement Records & Forms

To assist with your collection of the information we need to optimize your Claim, these forms will help you access your information from four major pharmacies.

When requesting your records, you do not need to tell the pharmacy the reason you want them. It's your business and all they need to know is that you want a copy for your own records.

Wal-Mart - Patient Access Request

Rite Aid - Patient Access Request

Walgreens - Patient Access Request

CVS - Patient Access Request

Costco - Patient Access Request

Safeway - Patient Access Request

Meijer - Patient Access Request


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Decades of Experience
in Successfully Serving our Clients

We aim at the heart of what these drug companies are trying to hide. They KNEW they did wrong and yet they continue to make billions of dollars on selling these highly addictive drugs.

Get a Free Initial Consultation: (402) 990-5953

CORE TEAM MEMBERS

This core group of team members is the tip of the spear of our organization. In addition to our extended team members, key stakeholders, associate partners and co-counsel relationships we have an organization geared towards success and getting you the compensation you deserve.

Frank Younes
Justin High
Joseph Hall