Non-Hodgkin’s Lymphoma Testing Form

If you qualify for this potential class action, an attorney will contact you to discuss the details of your potential case at no charge to you.

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Full Name Please enter your name. Street Address City State Zip Code Phone Number Your Email Invalid email. Preferred Form of Contact Email
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Describe the length of your exposure with Roundup Products.
Describe the circumstances of your exposure to Roundup Products.
Have you been tested for, or receiving medical screening, for Non-Hodgkin's Lymphoma, a class of cancers linked to glyphosate exposure?
If you were tested, were you diagnosed with Non-Hodgkin’s Lymphoma? If so, please outline your treatment.
Have you suffered from symptoms of Non-Hodgkin’s Lymphoma, including: Enlarged lymph nodes
Chest pain or pressure
Chills
Shortness of breath or cough
Please enter any additional information you would like to provide:

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