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Medical Information Request Form

Complete the form below to submit your medical inquiry. Our Medical team will respond to your request as soon as possible. This request form is intended for healthcare professionals (HCPs) and replies will be managed according to the specific rules of engagement with HCPs applicable in the United States. 

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Please note that this form is not to be used to report adverse events or product quality complaints.
Please report adverse events to (855) 541-3498 and product complain to ComplaintsHTU@helsinn.com
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