Congress Medical Information Request Form

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To submit a request for medical information, please complete the following form

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Congress Information

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Healthcare Professional Information

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By clicking Submit, I hereby confirm I am Healthcare Professional. In order to respond to your request, it is necessary to collect and process the personal information you have provided to Takeda.

 

This data will be provided to the appropriate department within Takeda that may be located outside of your country and will be used only to address your inquiry. All information provided will be retained in accordance with the applicable Data Protection laws for a period necessary to comply with the purposes for which your data has been provided. The use of your personal data as described above is based on our legitimate interest to respond to your inquiry and your consent. You have the right to request access to, rectification and deletion of your personal data or that its use be restricted. To exercise your rights or for more detailed information on how Takeda processes personal data, please contact the privacyoffice@takeda.com or refer to 

 

Takeda’s Privacy Notice at https://www.takeda.com/privacy-notice

 

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions to their local health authorities to Takeda.

 

FOR TAKEDA EMPLOYEES:  
By completing this form, I certify that any patient-specific adverse event and/or product complaint associated with this medical information request will be or has been reported directly to Takeda Pharmacovigilance and/or Product Quality Complaints in accordance with Takeda policies and procedures.

Transfer of Value (TOV) Response(s) may include published literature which are subject to reporting in accordance with Sunshine Act (Open Payments). Takeda is obligated to report HCP transfers of value to certain states and the federal government. Should literature with an assigned value be included with the response(s), how would you like us to fulfill the request:

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