Opt-in form


Consent form for HCPs

If you, as an HCP, wish to receive electronic promotional and non-promotional information from the Vifor Pharma Group, please subscribe using this form.

*Required fields
Consent is only collected from HCPs practicing in countries where Vifor Pharma has an affiliate.

Please select a communication channel:

Please fill all required fields
Please select a country
Please confirm you read Vifor Pharma Group privacy notice
Not correct email address
Please make sure your number is correct, starting with "+" and the country code
Please select a communication channel
Server error - your submission was not sent
Your message was sent successfully
Send