Pfizer Medical Inquiry | HCP - United States /HCP/US | PMIForm.com - Medical Inquiry Submission Site for Pfizer Inc

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Medical question on specific Pfizer prescription product - Include the presentation or formulation of Pfizer product in the question

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Pfizer Medical Information collects personal information you provide to address or provide a response to your medical inquiry. We may share this information with other Pfizer colleagues to ensure that your inquiry is addressed appropriately. Any information you choose to provide Pfizer, including any information about your or another individual’s health, is entirely voluntary. Please note we may be limited in our ability to respond to your inquiry or to honor your preference in method of communication if you choose not to provide certain personal information. If you report an adverse event or concern about the quality of a Pfizer product, we will need to use the information that you have given us in order to meet our regulatory requirements in relation to the safety of our medicines. It may be necessary for us to share your information with Pfizer’s affiliates, partners and regulatory authorities located in countries besides your own. By providing personal information about yourself, you agree to share the personal information you provide with Pfizer and Pfizer's service providers and grant permission for those entities to use that information to address or provide a response to your inquiry. If you provide information relating to someone else, you represent that that individual has agreed to share their personal information for this purpose and that you have obtained any necessary permissions, including any consents or authorizations required under applicable law. Pfizer has implemented measures to protect the personal information you provide. For additional information about the handling of personal information you provide, please visit Pfizer.com/Privacy and to exercise any rights requests related to your personal information, please complete the request at Pfizer.com/individualrights and we will respond in accordance with local law. If an individual for whom you have provided health information would like to withdraw that consent, please contact us at [email protected].

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