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Medical information Enquiry Web Form

(Please complete in English)

This form is intended for Health Care Professionals only. Clinigen Medical Information aims to respond to your medical information enquiry within 3 to 5 business days. If your enquiry is urgent, please contact us by telephone using the following numbers:

UK +44 (0) 1748 828 375 Netherlands +44 (0) 1423 533 578
Germany +44 (0) 1423 533 502 Hungary +44 (0) 1423 533 601
France +44 (0) 1423 533 563 Belgium +44 (0) 1423 533 653
Spain +44 (0) 1423 533 523 Poland +44 (0) 1423 852 967
Italy +44 (0) 1423 533 512 Switzerland +44 (0) 1423 533 656

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard.