Submit Medical and Pharmacy Records

 

December 19, 2022

Dear Client:

Re: IMPORTANT – OxyContin Class Action – Request for Medical Records and Pharmacy Records

In preparation for processing your claim under the contemplated settlement, we request that you
please secure and provide us with ALL of your Medical Records AND Pharmacy Records covering EACH
of the following three (3) timeframes:

1. the date when you were first prescribed OxyContin or, [ONLY if you were never prescribed Oxycontin] OxyNEO; AND
2. from the date of your first prescription to and including February 28, 2017; AND
3. the 3 years prior to the date of your first prescription.

This will require you to request those records from the medical clinic(s), hospital(s), and any other medical facility(ies) and pharmacy(ies) possessing them.

Even if you have already provided us with some or all of these records, please resend them again for
us to double check. 

If you are unable to provide us with some or any of these records, please so advise us in writing, and as
to why.

By no later than February 14, 2023, please provide us with your reply either by using the submission form through the following link: https://higgertylaw.ca/medical-and-pharmacy-records/,
or by completing, printing the submission form and then mailing or delivering it to us together with the requested Medical Records and Pharmacy Records at: Suite 400, 718 – 8th Ave SW Calgary, Alberta T2P 1H3.

This information will allow us to get a head start on processing your claim before claims period begins.
Please note that we will be requesting further information and documentation as the claims process
proceeds.

Thank you.

    SUBMISSION FORM

    Are you providing Medical Records and Pharmacy Records for the following three (3) timeframes:

    1.The date when you were first prescribed OxyContin or, (ONLY if you were never prescribed Oxycontin) OxyNEO
    All providedNot all provided


    2.From the date of your first prescription to and including February 28, 2017
    All providedNot all provided


    3.The 3 years prior to the date of your first prescription?
    All providedNot all provided


    Upload instructions: Please upload all of the records you currently can, even for an incomplete timeframe category of records*

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