Please note: This form is not to be used to report adverse events or product complaints related to Roche products. To report an adverse event, please use the current procedure in force in your country. Contact details for Roche Local Safety Units.

Any personal data that you may provide in relation to this enquiry will be retained in a secure database and may be transferred to a server based in the US. It will only be used for the purposes of answering this enquiry and/or for reporting purposes as required by law or regulatory authority.  If you would prefer that Roche does not store your personal data, please let us know.