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 numbers at the bottom of the page.
Contact 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 | +33 (4) 81 68 23 30 | 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 |
| United States | +1 (913) 647 6210 |
Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard.