The information collected on this form is stored in a digital file by H4 Orphan Pharma in order to process your request. It is kept for 3 years.

In accordance with the French Data Protection Act, you may exercise your right of access to your personal data and have it corrected or deleted by contacting us by email:  contact@h4orphanpharma.com or by telephone: +33 7 82 41 87 10.