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Swiss Grade Security

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Pharmacovigilance contact form

You are notifying an adverse event/situation involving a medical drug. A person in charge of pharmacovigilance at Pierre Fabre will handle your notification and she/he may contact you.

Contact person

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Information on the exposed patient

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Prescription drug concerned

Champ obligatoire

Description of adverse reaction(s)

 

Any information provided will be confidential, respecting the privacy of personal data and medical and professional secrecy.

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SEND

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There is one last step left to definitively validate your appointment and receive your medical invitation. Take a few moments to carefully complete your medical form. This is necessary for the smooth running of your care

COMPLETE THE MEDICAL FORM