healthcare professional Request

This form is not intended for reporting adverse events. Please report adverse events to adverse_events@beigene.com.

In the name of protecting patient privacy and ensuring compliance with applicable laws, we request that you do not share any patient identifiable information (e.g., name, initials, date of birth, etc.) in connection with your medical information requests. In accordance with BeiGene policies, we cannot provide medical advice with respect to particular patients.

BeiGene and its affiliates respect your privacy. As such, any personal information you provide to us will be used for purposes of replying to your medical information request and will be processed in accordance with applicable laws. Please see BeiGene’s HCP Privacy Policy at https://www.beigene.com/privacy-policy for additional information on how we use and protect your personal information prior to submitting your request. By submitting your request, you acknowledge and, if required by your local law, consent to our processing the personal information that you provide to us, including its possible cross-border data transfer as a result of BeiGene’s global operations, and you confirm that you: i) understand that requested information may be restricted, ii) are a healthcare professional, and iii) are requesting this information of your own volition, not at BeiGene’s prompting.