The information you provide through this form will be recorded by Quattro Pharma in accordance with our legal responsibilities relating to the safety and monitoring of our products. All data will be handled with strict confidentiality and in compliance with applicable data protection legislation and Quattro Pharma’s Privacy Policy.

In some cases, the information you provide may be shared with relevant health authorities to support the ongoing evaluation of the safety and quality of our products. This includes assessing the overall benefit–risk profile of the medicine you have used, updating product safety information where appropriate, and responding to your request or report effectively.

If you have any concerns regarding the use of your personal information, or if you wish to access, correct, or request the deletion of your data, please contact us at:

 Medinfo-ADRs@quattropharma.com.

If you are submitting this form on behalf of another individual, please ensure they are aware that their personal information is being submitted and may be shared with appropriate regulatory authorities for safety monitoring purposes.