Houston Office 3200 Travis, 3rd Floor Houston, TX 77006 713-529-0025 713-751-0412 | Galveston Office 409-762-9090 888-529-4688 Home Attorney Profile Contact Us CoolSculpting Fat Removal Lawsuit Contact Us Contact Us Title —Please choose an option—Mr.Mrs.Ms.Mr & Mrs.Dr. First Name* Last Name* Relationship* Email* Phone* Alternate Phone Address City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip How would you prefer to be contacted?* EmailPhoneMail Name of who sustained CoolSculpting injury? Date of Birth of CoolSculpting victim? Date(s) of CoolSculpting procedure? Did the CoolSculpting procedure result in (PAH) Diagnosis? YesNo Did the injury require additional medical treatment? YesNo What treatment was needed to correct PAH? LiposuctionTummy TuckOther Please provide any additional comments: