General Enquiry form

General Enquiry Form (UK16WEB0014a(1) DoP: July 2018)

If you are based outside the UK please visit www.servier.com and use the Contact Us form

Please indicate whether you are a Patient, or HCP or Member of the Public: *

Select one

Title:

First Name: *

Last Name: *

Telephone number: *

Telephone number

E-mail Address:

Re-confirm E-mail Address:

Contact Address: *

Postcode: *

Country: *

Your Question, Comment, or Problem: *

Please provide us as much detail as possible. Providing more information enables us to respond more quickly. If you are based outside of the UK please visit www.servier.com and use the Contact Us form.

I confirm I have read the Privacy Statement below, and have read and accepted the Terms of Use (at bottom of page).

Servier is committed to protecting your privacy. If you submit an enquiry, Servier Laboratories Ltd and Servier Research and Development Ltd will collect and process your personal information for the purposes of dealing with your enquiry. We will contact you if we require further information regarding your enquiry. All personal information you share with us in your enquiry will be processed in accordance with the EU General Data Protection Regulation, the Data Protection Act 2018 and all other applicable data protection laws. Please note you have certain rights regarding your personal information. For further information on our use of your personal information including your rights, please see our Privacy Notice accessible here: www.servier.co.uk/content/privacy-notices. If you provide us with any personal information relating to another person, you must ensure that you direct them to the Privacy Notice on our website as soon as possible. If you have any questions relating to our use of your personal information please contact us by email at datamanagementuk@servier.com or by post to the Compliance Department, Servier Laboratories Ltd, Sefton House, Sefton Park, Bells Hill, Stoke Poges, Slough SL2 4JS.