Abilify Client Information Request

Dear Client,

Your immediate help is needed for your or your loved one’s case.  We need 2 things:

  1. A picture or scan of all Abilify pharmacy records during your period of ingestion; and
  2. A picture or scan of bank records, casino profit and loss statements that show losses from gambling.

Use the form on this page to send us your picture(s) or scan(s).

We must provide proof of ingestion of Abilify and proof of your gambling losses to defendants by April 5, 2019.

We have requested these records but, to date in many cases, we have not received the prescription records or gambling loss records so we need your help.

If you have records from the doctor who prescribed Abilify please take a photo and/or upload a scanned PDF.

Please use the form on this page to upload these documents. If you have any trouble with the form, you may also email OR text the requested documents to abilifyteam@awkolaw.com.

    Your Name (*required)

    Date of Birth (*required)

    Your Email

    Phone Number (*required)

    Attach the requested files below. Limit of 10MB each.

    Please be patient. Depending on file size, your upload may take a few minutes.