United States

Request Medical Information

This form is intended for healthcare professional use only.

If you are a patient or caregiver and would like to request information about CSL Behring products, please contact your health care professional.

If you have encountered any side effect(s) to a CSL Behring product, we encourage you to talk to your doctor, pharmacist, or nurse.

Medical Information Request

Contact Information

You may also request contact from a Medical Science Liason (MSL)

Healthcare Professional Information

By selecting "Submit" on this form, you are consenting to disclose any information provided, including your name, email address, professional license number, and any other information (collectively "Personal Information") to CSL Behring and its representatives, agents, and contractors (collectively "CSL Behring Entities") and to receive communications with relevant information from CSL Behring Entities. You will have the ability to opt out from receiving communications from CSL Behring Entities at any time. CSL Behring and CSL Entities will not sell your personal information.

CSL Behring respects your privacy. For an explanation of how CSL Behring will use the information you are submitting, please view our Privacy Policy.