Country of residence / practice
Please confirm your Country of residence / practice on order to route your request to the responsible locale team.
当您填写问询和个人信息时，请注意以下要求：
姓名请提供姓名首字母缩写
工作单位请勿提供军警院校、党政军或涉密单位的信息
请勿提供具体的地址信息
此外，请勿提供任何与生日，民族相关的个人信息
Please note the following requirements when filling out inquiries and personal information:
For the name, please provide initials only.
Do not provide information from military, police institutions, party or government offices, or confidential units as your workplace.
Do not provide specific address information.
Additionally, do not provide any personal information related to birthdays or ethnicity.
Product Details
Your question will be sent to our team of local Roche Medical Information experts in your country. If your question does not relate to a specific Roche product select "I don't know".
Which Roche product does your question relate to?
Your question ({{form.product.label}}) ({{form.product}})
What can we help you with?
Personal Details
Are you a…
I consent to my data being processed for the purpose of responding to my inquiry and in accordance with the Roche Privacy Policy & Privacy Notice for Pharmacovigilance
You consent, by ticking the box above, to the processing of your data for the purposes of responding to my inquiry and in accordance with the Roche Privacy Notice for Pharmacovigilance, medical information and product complaints. If you do not consent to the data processing, we will not be able to reply to your message and kindly ask you to use other channels to contact us.
F. Hoffmann-La Roche Ltd ("Roche") will keep a record of the personal data that you provide for the purpose of responding to your inquiry, to follow up on such requests, to maintain the information in the Roche medical information database for reference and to comply with our legal and regulatory recording and reporting obligations. The retention time of data is in accordance with respective laws and regulations.
By including personal data of another data subject in the form, you represent the lawfulness of processing of such personal data.
The Roche Privacy Policy provides further detailed information about your rights and how Roche processes personal data.
当您填写问询和个人信息时，请注意以下要求：
姓名请提供姓名首字母缩写
工作单位请勿提供军警院校、党政军或涉密单位的信息
请勿提供具体的地址信息
此外，请勿提供任何与生日，民族相关的个人信息
Please note the following requirements when filling out inquiries and personal information:
For the name, please provide initials only.
Do not provide information from military, police institutions, party or government offices, or confidential units as your workplace.
Do not provide specific address information.
Additionally, do not provide any personal information related to birthdays or ethnicity.