Textured Breast Implant Enquiry Form

All fields marked with a*are required for the form to be submitted

Textured implants have been linked to a rare form of cancer called breast implant associated anaplastic large cell lymphoma, BIA-ALCL.

Diagnosis of BIA-ALCL
Leigh Day is currently pursuing claims on behalf of women who have had a diagnosis of BIA-ALCL or are being investigated for BIA-ALCL.

If you have had a BIA ALCL diagnosis and would like to speak to a member of our team regarding a potential claim, please email us .

Concerned about BIA-ALCL
If you have not had a diagnosis of BIA-ALCL but are concerned about developing this condition, and would like to be added to our mailing list so that we can keep you up to date on the BIA-ALCL litigation and inform you if we are able to pursue legal action for women who have not been diagnosed but due to concerns wish to have their implants removed, please complete our mailing list form below.

BIA-ALCL MAILING LIST FORM
*Please note that completing this form does not mean we are pursuing legal action on your behalf. Your data will be added to our mailing list and dealt with in accordance with our privacy policy. If you have any particular queries about how your data will be kept and used, you can email our team.

First name*
Second name*
Telephone*
E-mail*
What type of implant was used in your case?*
Date of implantation?*
Have you had your implants removed?*
Date of removal?
At which clinic were you implanted?*
Do you have a confirmed BIA-ALCL diagnosis?*

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Textured Breast Implant Enquiry Form