I am investigating the use of ECT in Texas and am looking for persons who may have been treated at certain hospitals in certain years. If you fit the correct profile, I will contact you immediately.

If you were treated in the state of Texas between the years of 1993-2001 with ECT, and felt you were harmed, please fill out the following form to be mailed to me.

Valid Email address:


Name of hospital where you had ECT:


Year you had ECT:


City:


(Optional) One-sentence summation of the damage you feel you suffered: