Alexander Harris Solicitors

Shipman Inquiry Questionnaire

The brief questionnaire below has been sent to all of the families who have so far contacted us. If you wish to make a contribution to the Inquiry whether by providing us with information, making a written statement or attending to give evidence, please complete your details below.

If more than one person in your household or family wishes to make a contribution, please ensure that their details are entered at the bottom of the form or on a separate form. Please press submit to send the questionnaire to the Alexander Harris Inquiry Team. A member of the Team will then be in contact with you.

If you have any questions with regard to the Inquiry or the Inquests then please address your queries to the Shipman Inquiry Team at Alexander Harris.

Harold Shipman's clinical practice 1974-1998 - A clinical audit commissioned by the Chief Medical Officer - complete document in Portable Document Format.

Questionnaire

If you believe that you might have a legal claim relating to Shipman Inquiry Questionnaire, please complete the online enquiry form or call 0870 024 0558. Your enquiry will be forwarded to a solicitor who specialises in Shipman Inquiry Questionnaire.

If you have any comments in relation to Shipman Inquiry Questionnaire, please use the online discussion forum.

Title
First Name
Last Name
Address
Address Line 2
Town
County
Postcode
Telephone
Email
Date of Birth: Day: Month: Year:

	I wish to make a contribution to the Public Inquiry
	I wish to provide information to the legal team representing the families
	I would like someone to visit me to assist me in making a statement