Entire paragraphs were copied?
Were the phrases commonly used medical terms?
I appreciate the additional information. As to the location, it will have no bearing on any copyright protection you have for the brochure. It is apparent the list of procedures was copied, but the issue is whether copyright laws afford you protection.
The US Copyright Office states the following will not be copyrighted:
"Titles, names, short phrases, and slogans; familiar symbols
or designs; mere variations of typographic ornamentation,
lettering, or coloring; mere listings of ingredients
Your list off procedures does would not be afforded copyright protection it appears. Additionally, terms such as "expert medical care" will not be afforded protection. Unfortunately, it appears your competitor's actions are premissible.
For more information on copyright protections, see: http://www.copyright.gov/circs/circ1.pdf
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