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LP0145-1376 Adults with Moderate to severe Atopic Dermatitis
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Thank you for your interest in participating in one of LEO Pharma clinical trials. Please fill in the form below and click “Submit”. All fields marked with * must be filled in.
You will receive a copy of the form by e-mail once you have pressed "Submit".
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I understand that side effects on LEO Pharma products must be reported using the form
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May LEO Pharma share your personal data and contact information with a hospital or clinic conducting a LEO Pharma clinical trial, in order for them to contact you directly?
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Yes, I consent to LEO Pharma A/S' processing of personal data provided in the formula, for the purpose of accommodating my request or inquiry.
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