Get Mdl 2197

The Mdl 2197 form, formally known as the ASR Supplemental Plaintiff Disclosure Form, is crucial for participants involved in the DePuy Orthopaedics ASR Hip Implant Products Liability Litigation. This guide provides clear, step-by-step instructions to assist users in completing the form effectively and submitting it correctly.

Follow the steps to complete the Mdl 2197 online.

1. Click the ‘Get Form’ button to access the Mdl 2197 form in an online space suitable for editing.
2. Begin by entering your personal information in the relevant fields. Provide your name, date of birth, complete address, and venue details, ensuring accuracy to facilitate effective communication.
3. Indicate whether you have had an ASR hip implant by checking 'Yes' or 'No' as appropriate. If applicable, provide additional information regarding the implant dates, hospitals, and surgeons for both the left and right hips.
4. Respond to whether you have had any revisions by marking 'Yes' or 'No.' If you have had revisions, fill in the relevant dates and medical details as required.
5. Complete questions concerning any recommendations for revision surgeries and their medical implications. Include your doctor's name, discussion dates, and if applicable, address any medical conditions that affect surgery options.
6. Answer questions relating to complications or additional surgeries post-revision. Ensure you provide dates and details in the specified format.
7. Finally, review your entries for accuracy and completeness. After ensuring all necessary sections are filled, save your changes, download a copy for your records, and prepare to share it with the specified counsel via email.

Complete and submit your Mdl 2197 form online today to ensure compliance with the required disclosures.