Materials Order Form

I would like to arrange for the following support items to be sent to me
Consilient Health Portfolio Poster
Consilient Health Cost Savings Leave Piece
Patient Decision Tree
Information about brand vs generic prescribing
Information about our learning resources and CPD modules
Patient Webcards
- Please arrange for a local representative to contact me to learn more about the Consilient Health range of oral contraceptives or the My OC pill reminder app.
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Consent
- If you would like to receive occasional communications from Consilient Health promoting their products and services please tick the box
GDPR*
- Tick here to indicate you have read and understand our privacy policy, where it states how we treat your personal data
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Privacy Policy: Consilient Health Ltd will always employ appropriate technical security measures to protect your personal information and to ensure that it is not accessed by unauthorised persons. Consilient Health Ltd respects the confidentiality of personal information. Only Consilient Health Ltd will have access to your information. Your information will not be disclosed or sold to any other third parties such as outside mailing organisations. If at any time you require your information on the Consilient Health Ltd database to be amended, or that you wish to unsubscribe from the prospective delivery of promotional emails, please email oc@consilienthealth.com Additional information on our privacy policy can be requested at Consilient Health Ltd, Block 2A, Richview Office Park, Clonskeagh, Dublin14, Ireland.
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If you have a medical query about a Consilient Health medicine, please contact Consilient Health at drugsafety@consilienthealth.com. Adverse events should be reported to Consilient Health at drugsafety@consilienthealth.com and the MHRA. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard

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Materials Order Form

I would like to arrange for the following support items to be sent to me