University of Colorado Cancer Center

Centers for the Treatment of Mesothelioma Cancer

University of Colorado Cancer Center
1665 N. Ursula Street
Aurora, Colorado 80010
Patient/Clinical Trial Information: (800) 473-2288
www.uccc.info

If you or a loved one have been diagnosed with mesothelioma, contact James F. Humphreys and Associates today to arrange a free consultation. Please fill out as many questions as possible.

Please select the Asbestos-related disease with which you or a loved one has been diagnosed:

If diagnosed, when did the diagnosis take place?

In what state did the Asbestos exposure occur?

Please select the manner in which the Asbestos-Exposure occurred:

If exposure to Asbestos occurred at work, what was the name of your employer?

What was the approximate date of exposure to Asbestos?

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