Thank you for agreeing to send your intact explanted PIP implant/s for analysis. The results and findings will be used for general research purposes and to better understand the nature and effects of fraudulent PIP implants. The details of any published studies will be made available on publication. Individual results can be obtained by email if you confirm your email address in the box at the end of the form. This form should be printed, signed and sent with a completed Symptom Survey to the laboratory with explanted PIP Implant/s for analysis.