| Contact Information | |
|---|---|
| First Name | Karen |
| Last Name | Ritsick |
| Address | 86 Oliver St |
| City | Swoyersville |
| State | PA |
| Province | |
| Zip/Postal Code | 18704 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| kritsick@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Ashley - |
| Date of Injury | 11/06/2003 |
| Type of Injury | Obstetric |