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Free Initial Case Review

Complete the form below to request an initial review of a Dupixent and CTCL-related inquiry. MedLaw Group or attorneys assisting with this matter may contact you if additional information is needed.

Legal deadlines may vary by state, and diagnosis timing can matter. You do not need to have every record before submitting basic information for review.

What information may help

You do not need to have every record ready before submitting. Basic information about Dupixent use, diagnosis history, timing, and any dermatology, pathology, or oncology records can help the review team understand your inquiry.

Both consent acknowledgments must be completed before submission.

This form is intended for initial review requests involving Dupixent use and CTCL or related T-cell lymphoma diagnoses.

Contact information

Full name * Phone number * Email address * State * Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Dupixent and diagnosis details

Did you use Dupixent? * Select one Yes No Not sure CTCL or T-cell lymphoma diagnosis? * Select one Yes, CTCL Yes, another T-cell lymphoma No Not sure Diagnosis name, if known Select one Mycosis fungoides Sezary syndrome Cutaneous T-cell lymphoma (CTCL) Peripheral T-cell lymphoma Other T-cell lymphoma Not sure Other Approximate diagnosis date Are you currently represented by another attorney for this issue? * Select one Yes No

Briefly describe your situation

Consent and notices

Please review and confirm the notices below before submitting.

I request and authorize MedLaw Group or attorneys assisting with this matter to contact me about my inquiry at the contact information I provide, including by calls using an auto dialer, text, fax, or email, even if carrier charges may apply. Consent is not a condition of services. This consent supersedes applicable state, federal, or company do-not-call list restrictions. * I understand this website contains attorney advertising. Submitting this form does not create an attorney-client relationship and does not mean my matter has been accepted. I am requesting that MedLaw Group or attorneys assisting with this matter review the information I submit, and I understand I may receive future communications from MedLaw Group or attorneys assisting with this matter. *

Submit for Initial Review

Important notice

This website contains attorney advertising. Your submission requests an initial review only. No attorney-client relationship is created unless and until a written agreement is signed.

What happens after submission

After you submit the form, your information will be reviewed for initial evaluation. If follow-up is appropriate, MedLaw Group or attorneys assisting with this matter may contact you.