| Instructions: |
|
The deadline to submit a claim is 11:59 PM (Eastern Standard Time) on October 11, 2021. You should NOT submit both an online claim AND a paper form. Only one Claim form will be accepted per qualified individual. The claims period has concluded. |
For more information or issues regarding filing a claim, please contact the Claims Administrator at:
| By Mail | By Email |
|
Advanced Dermatology v MTI, Inc |
[email protected] |