Case Review Submission Case Review Submission Please fill out the form below to submit your case for consideration. Case submitted by:(Required) Your email address(Required) Enter Email Confirm Email Patient age(Required)Patient gender(Required) Chief complaints & comorbitidies(Required)Brief history pertinent to mold exposure(Required)Has the suspected built space been assessed? Results?(Required)Pertinent labs including rule-out labs(Required)What have you tried that worked?(Required)What hasn't worked?(Required)List the current treatment protocol 84684 I’ll be in touch if your case has been selected. See you at the workshop!