Enrolment form

This website is for healthcare professionals only

As agreed with the Medicines and Healthcare Products Regulatory Agency (MHRA), a register of prescribers who have completed the training on the safety aspects of JINARC^® is being maintained. In addition, Otsuka Pharmaceuticals UK Ltd will issue an annual reminder for recertification of training to all prescribers.

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About you

First name of prescriber* Last name of prescriber* Title Speciality* Mobile number Email address*

About your institution

Institute/hospital name*
Street address*
City*
Postcode/ZIP*
Telephone

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Enrolment form

About you

About your institution

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Enrolment form

About you

About your institution

Are you a Healthcare Professional?