necformulahelp.pages.dev Open in urlscan Pro
2606:4700:310c::ac42:2c54  Public Scan

URL: https://necformulahelp.pages.dev/
Submission: On January 23 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: email-form

<form id="email-form" name="email-form" action="">
  <div class="group__input required select">
    <p>Was your child diagnosed with Necrotizing Enterocolitis (NEC)?</p>
    <select id="NEC" name="NEC">
      <option value="" selected="" disabled="" style="display:none;">--Select one--</option>
      <option value="Yes">Yes</option>
      <option value="No">No</option>
    </select>
  </div>
  <div class="group__input required select">
    <p>Was your baby fed cow’s milk-based formula?</p>
    <select id="infant_formula" name="infant_formula">
      <option value="" selected="" disabled="" style="display:none;">--Select one--</option>
      <option value="Yes">Yes</option>
      <option value="No (baby was fed non-dairy / non-cow’s milk-based formula)">No (baby was fed non-dairy / non-cow’s milk-based formula)</option>
      <option value="Not fed formula (baby was breastfed)">Not fed formula (baby was breastfed)</option>
    </select>
  </div>
  <div class="group__input required select">
    <p>Was your baby born prematurely (34 weeks or earlier)?</p>
    <select id="born_premature" name="born_premature">
      <option value="" selected="" disabled="" style="display:none;">--Select one--</option>
      <option value="Yes">Yes</option>
      <option value="No">No</option>
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  </div>
  <div class="group__input required short">
    <p>First Name</p>
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  <div class="group__input required short">
    <p>Last Name</p>
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  </div>
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    <p>Email</p>
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  </div>
  <div class="group__input required phone">
    <p>Phone Number</p>
    <input id="phone_home" name="phone_home" data-name="phone_home" type="text" placeholder="(___) - ___ - ____">
  </div>
  <div class="group__input required short">
    <p>Please briefly describe the circumstances surrounding the diagnosis:</p>
    <textarea name="description" id="description" cols="30" rows="10"></textarea>
  </div>
  <input type="hidden" name="page_version" value="Lejeune Split">
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  <input type="hidden" id="field-31" name="efid" value="[efid]" data-at="form-hidden-input">
  <input type="hidden" id="pageurl" name="pageurl" value="https://necformulahelp.pages.dev/" data-at="form-hidden-input">
  <input type="hidden" id="ip_address" name="ip_address" value="96.9.249.42" data-at="form-hidden-input">
  <div class="group__submit">
    <button id="fsubmit" type="submit" disabled="disabled">Request my free evaluation</button>
  </div>
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</form>

Text Content

When did you or a loved one live or work at Camp Lejeune? is required




WAS YOUR CHILD DIAGNOSED WITH NECROTIZING ENTEROCOLITIS (NEC) AFTER BEING FED
WITH COW'S MILK FORMULA?

FAMILIES AFFECTED MAY BE ENTITLED TO COMPENSATION.


HUNDREDS OF FAMILIES ARE TAKING THE FIRST STEPS TOWARDS POTENTIAL COMPENSATION.



STEP 1: TAKE THIS EVALUATION

Was your child diagnosed with Necrotizing Enterocolitis (NEC)?

--Select one-- Yes No

Was your baby fed cow’s milk-based formula?

--Select one-- Yes No (baby was fed non-dairy / non-cow’s milk-based formula)
Not fed formula (baby was breastfed)

Was your baby born prematurely (34 weeks or earlier)?

--Select one-- Yes No

First Name

Last Name

Email

Phone Number

Please briefly describe the circumstances surrounding the diagnosis:

Request my free evaluation

CONFIDENTIAL REVIEW

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Disclaimer: By clicking 'REQUEST MY FREE EVALUATION ', you are providing express
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WAS YOUR CHILD DIAGNOSED WITH NECROTIZING ENTEROCOLITIS (NEC) AFTER BEING FED
WITH COW'S MILK FORMULA?

Families affected may be entitled to compensation.

DO NOT STOP TAKING A PRESCRIBED MEDICATION WITHOUT FIRST CONSULTING WITH YOUR
DOCTOR. DISCONTINUING A PRESCRIBED MEDICATION WITHOUT YOUR DOCTOR'S ADVICE CAN
RESULT IN INJURY OR DEATH.

The medication(s) described on this page remains approved by the United States
Food & Drug Administration (FDA).

Please note: Completion of this evaluation does not guarantee compensation. Each
project has specific qualifying criteria and the criteria may change from
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Data Use Policy: The information you provide while taking this evaluation may be
provided to an attorney or law firm representing clients in your area. An
attorney or law firm may contact you by phone or text message regarding this
matter. Select Justice, LLC will not provide your contact information to any
unaffiliated third parties.


STUDY: FORMULA-FED PREEMIES AT HIGHER RISK FOR DANGEROUS GI CONDITION THAN
BABIES WHO GET DONOR MILK (SCIENCE DAILY, MAY 1, 2011)


SEE IF YOU MAY QUALIFY FOR
POTENTIAL COMPENSATION.

Take this short, confidential evaluation now.

REQUEST MY FREE EVALUATION

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