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Please fill out this form if you have any questions about the potential drug side effects of Yaz or Yasmin...we will get back to you as soon as possible.

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What oral contraceptive did you take?

Yaz Yasmin Ocella

While taking Yasmin, Yaz, or Ocella, were you diagnosed with any type of blood clotting problems such Stroke, Deep Vein Thrombosis, Pulmonary Embolus or Thrombophlebitis?

Have you taken other oral contraceptives in the past?

Did you have any medical problems while taking other oral contraceptives?

Provide your smoking history. Include how long you have smoked, when you started smoking and the number of packs a day you smoke: (Leave this blank if you're not a smoker)

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Williams Kherkher Represents Yasmin/Yaz Victims Nationwide

Williams Kherkher represents clients across the country. Click here to learn more.