International Medical Information Request
Report side effects by email
If you do not wish to use the online form above, you can write us at firstname.lastname@example.org or download the form below, print, complete and send it to:
LEO Pharma A/S
Att.: Global Safety
DK – 2750 Ballerup
LEO Pharma will keep and store my health data as long as required to meet our Pharmacovigilance obligations. You can submit anonymous data; but if you provide us with your contact details, you are entitled to request a copy of the information collected. The data will be stored according to LEO Pharma guidelines on data protection. Read more here.