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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 numbers at the bottom of the page.

Contact numbers

UK+44 (0) 1932 555 026Netherlands+32 (0) 2 200 86 79
Germany+49 (0)619 6499 3999Hungary+44 1932 824 123
France+33 (4) 81 68 23 30Belgium+32 (0) 2 200 86 79
Spain+34 9127 57362Poland+44 1932 824 123
Italy+39 02 9148 3840Switzerland+49 (0) 619 6499 3999
United States+1 (984) 983 4598

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