You’re Almost There! Testosterone Therapy Congratulations! We want to thank you for taking the time to fill out your Testosterone Therapy contract. In order for us to move forward with your case, please fill out the following: Full Name(required) Phone Number(required) Email Address(required) What type of Testosterone did you use?(required) AndroGel AndroDerm Injections Axiron Fortesta Striant Testim Testopel Other Dates you used Testosterone(required) What type of injury did you suffer? (required) Heart Attack Stroke Blood Clot Other Additional Information Submit