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Enquiries Form

Healthcare professionals may use this form to submit enquiries to the East Anglia Medicines Information Service.

 

East Anglia MIS enquiries

Healthcare professionals may use this form to submit enquiries to the East Anglia Medicines Information Service.
  • Section 1

    If 'Yes' please proceed to continue to Section 2. If 'No' please proceed to Section 3.
  • Section 2

  • Date Format: MM slash DD slash YYYY
  • Section 3

  • Date Format: MM slash DD slash YYYY
    Please note you may be contacted if we cannot meet this deadline. Please give a specific date - do not use ASAP.
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