User Form | HCP Consent form

HCP Consent form

Hello, and thank you for stopping by our booth at EHA2025!

If you're eager to access expert insights and the latest product updates, please confirm your consent to receive promotional communications from Jazz Pharmaceuticals.

By providing your consent and confirming that you are a healthcare professional, you will be able access to our Symposia materials.

For Adverse Event reporting, please scroll to the bottom of this page

* Required field

Email

Phone Number

First Name

Last Name

Role at work place

Primary speciality

Name of your practice

Country of practice

City of practice

Yes, I would like to receive promotional communications from the Jazz Pharmaceuticals Group, including GW Pharmaceuticals, about their products within the therapeutic areas listed below:

By providing your consent, you confirm that:

You would like to receive marketing communications from the Jazz Pharmaceuticals Group by email or other electronic means, about their products, and services including details of webinars and events, which Jazz Pharmaceuticals believe may be of value to you, relevant to your work and tailored to your professional profile and interests.
You can opt out of receiving these communications at any time by clicking on the relevant link in the emails we send you, or by contacting your Jazz Pharmaceuticals representative.
Your personal data will always be treated with the utmost care and will be processed in accordance with Jazz Pharmaceuticals' General Privacy Statement.

I consent to receive promotional communications for the selected therapy area from the following channels:

Help us deliver content that matters to you. By providing consent below, you give Jazz Pharmaceuticals permission to collect data about how you interact with our emails, as described in more detail below, helping us understand which content best serves your needs. You can revoke this consent at any time with effect for the future by contacting your Jazz Pharmaceuticals representative or the Jazz Pharmaceuticals' Privacy Office at privacy@jazzpharma.com

More Information on Tracking

With your consent we will be able to obtain the following information based on your activities on emails you received from us, including:

whether you have opened the e-mail, when and how many times; and
when and how many times you have clicked any links within the email and any attached documents (if any e.g. prescribing information)

Such information will enable us to:

understand whether content is valuable and interesting to you to further help and support you with relevant content; and
provide insights into the types of information that you interact with and therefore helping to develop further content and e-mails that are suited to your interest.

Adverse events should be reported. Healthcare professionals are asked to report any suspected adverse events via their national reporting system. For the UK, reporting forms and information can be found at yellowcard.mhra.gov.uk, or search for Yellow Card MHRA in the Google Play or Apple App Store. Adverse events should also be reported to Jazz Pharmaceuticals at AEreporting@jazzpharma.com.