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By filling out this web form / sending this web message on product quality, I confirm that
pursuant to the provision of Federal Law No. 152-FZ of 27.02.2006 on Personal Data Protection
OOO NPF MATERIA MEDICA HOLDING (hereinafter referred to as the Company) may collect and process
my personal data above for the purposes of receiving information about adverse drug reactions
when carrying out pharmacovigilance activities.
This consent is also considered as the consent to perform any required actions regarding my
personal data to conduct the above activities, including, but not limited to, collection,
systematization, accumulation, storage, clarification (update, change), use, distribution
(including transfer), anonymization, blocking, destruction and cross-border transfer of personal
data, and any other operations with the personal data under the current legislation of the
This consent shall be treated as a written consent pursuant to the provision of Federal Law No.
152-FZ of 27.02.2006.
The date of issue of this Consent is the date of sending the web message about the suspected
adverse reaction on the Company’s web site.
The consent is provided for the unlimited period and may be revoked by sending a written
application to 9, 3rd Samotyochny per., 127473, Moscow, Russia.