For healthcare professionals

If you wish to report a suspected adverse reaction to one of the products commercialised by Faes Farma Group, please fill in the following form:

    HEALTH PROFESSIONAL INFORMATION:

    First Name *

    Last Name *

    Email *

    PATIENT'S DATA:

    Age *

    Sexo

    Country *

    Autonomous Community (only Spain) *

    Name of the product *

    Reason for taking the product

    Comments

    Privacy Policy

    In compliance with the provisions of Organic Law 15/1999 on protection of personal data (LOPD), the Surveillance Unit of FAES informs you that your personal data may be included into a file owned by FAES FARMA, S.A. and as far as the information complies with the provisions of Royal Decree (RD) 577/2013 of 26 July, which regulated Pharmacovigilance of drugs for human use, the data will be used exclusively to comply with said activity regarding the management of adverse events/adverse reactions. We inform you that you may at any time exercise your rights to access, rectify, cancel and oppose your personal data as established by law, by writing to FAES FARMA, S.A. (Pharmacovigilance Unit), Avenida Autonomia 10, 48940, Leioa. Bilbao, Spain, or by sending an email to: drugsafety@faes.es.

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