Managed Access patient privacy notice and consent templates

Managed Access patient privacy notice and consent templates

Country‑specific patient privacy notice and consent templates for Managed Access Programs (MAPs) and Post‑Study Drug Supplies (PSDS) are available below.

The use of these templates is optional, and physicians may use an equivalent template provided by their institution or hospital, as appropriate.

Algeria in arabic (216 KB) Algeria in french (102 KB) Argentina (117 KB) Australia (103 KB) Austria (159 KB) Bahrain (118 KB) Bangladesh (98 KB) Belgium (99 KB) Bosnia and Herzegovina (223 KB) Brazil (137 KB) Brunei Darussalam (108 KB) Bulgaria (117 KB) Canada (79 KB) Chile (115 KB) China (267 KB) Colombia (130 KB) Costa Rica (98 KB) Croatia (110 KB) Cyprus (98 KB) Czech Republic (109 KB) Denmark (104 KB) Ecuador (116 KB) Egypt (335 KB) El Salvador (98 KB) Estonia (97 KB) Finland (104 KB) France (115 KB) Georgia (127 KB) Germany (196 KB) Greece (105 KB) Guatemala (98 KB) Honduras (98 KB) Hong Kong (104 KB) Hungary (90 KB) Iceland (103 KB) India (109 KB) Indonesia (113 KB) Ireland (109 KB) Israel (99 KB) Italy (111 KB) Japan (645 KB) Jordan (148 KB) Kuwait (118 KB) Latvia (100 KB) Lebanon (148 KB) Lithuania (103 KB) Luxembourg (97 KB) Malaysia (98 KB) Maldives (98 KB) Malta (98 KB) Mexico (109 KB) Montenegro (104 KB) Morocco in arabic (216 KB) Morocco in french (102 KB) Myanmar (96 KB) Netherlands (104 KB) New Zealand (103 KB) Nicaragua (100 KB) Norway (101 KB) Oman (116 KB) Pakistan (96 KB) Palestine (148 KB) Panama (98 KB) Peru (113 KB) Poland (123 KB) Portugal (100 KB) Qatar (118 KB) Republica Dominicana (98 KB) Romania (145 KB) Russia (244 KB) Saudi Arabia (89 KB) Serbia (104 KB) Singapore (105 KB) Slovakia (96 KB) Slovenia (107 KB) South Africa (108 KB) South Korea (275 KB) Spain (106 KB) Sri Lanka (108 KB) Sub-Saharan Africa (107 KB) Sweden (102 KB) Switzerland (125 KB) Taiwan (228 KB) Thailand (233 KB) Tunisia in arabic (217 KB) Tunisia in french (103 KB) Turkey (147 KB) Ukraine (300 KB) United Arab Emirates (118 KB) United Kingdom (99 KB) United States (104 KB) Venezuela (116 KB) Vietnam (217 KB)
Source URL: https://www.novartis.com/healthcare-professionals/managed-access-programs/managed-access-patient-privacy-notice-and-consent-templates

List of links present in page
  1. https://www.novartis.com/healthcare-professionals/managed-access-programs/managed-access-patient-privacy-notice-and-consent-templates
  2. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-algeria-arabic.pdf
  3. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-algeria-french.pdf
  4. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-argentina.pdf
  5. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-australia.pdf
  6. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-austria.pdf
  7. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bahrain.pdf
  8. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bangladesh.pdf
  9. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-belgium.pdf
  10. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bosnia-herzegovina.pdf
  11. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-brazil.pdf
  12. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-brunei-darussalam.pdf
  13. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bulgaria.pdf
  14. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-canada.pdf
  15. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-chile.pdf
  16. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-china.pdf
  17. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-colombia.pdf
  18. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-costa-rica.pdf
  19. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-croatia.pdf
  20. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-cyprus.pdf
  21. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-czech-republic.pdf
  22. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-denmark.pdf
  23. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ecuador.pdf
  24. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-egypt.pdf
  25. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-el-salvador.pdf
  26. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-estonia.pdf
  27. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-finland.pdf
  28. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-france.pdf
  29. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-georgia.pdf
  30. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-germany.pdf
  31. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-greece.pdf
  32. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-guatemala.pdf
  33. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-honduras.pdf
  34. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-hong-kong.pdf
  35. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-hungary.pdf
  36. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-iceland.pdf
  37. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-india.pdf
  38. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-indonesia.pdf
  39. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ireland.pdf
  40. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-israel.pdf
  41. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-italy.pdf
  42. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-japan.pdf
  43. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-jordan.pdf
  44. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-kuwait.pdf
  45. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-latvia.pdf
  46. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-lebanon.pdf
  47. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-lithuania.pdf
  48. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-luxembourg.pdf
  49. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-malaysia.pdf
  50. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-maldives.pdf
  51. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-malta.pdf
  52. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-mexico.pdf
  53. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-montenegro.pdf
  54. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-morocco-arabic.pdf
  55. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-morocco-french.pdf
  56. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-myanmar.pdf
  57. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-netherlands.pdf
  58. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-new-zealand.pdf
  59. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-nicaragua.pdf
  60. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-norway.pdf
  61. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-oman.pdf
  62. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-pakistan.pdf
  63. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-palestine.pdf
  64. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-panama.pdf
  65. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-peru.pdf
  66. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-poland.pdf
  67. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-portugal.pdf
  68. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-qatar.pdf
  69. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-republica-dominicana.pdf
  70. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-romania.pdf
  71. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-russia.pdf
  72. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-saudi-arabia.pdf
  73. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-serbia.pdf
  74. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-singapore.pdf
  75. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-slovakia.pdf
  76. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-slovenia.pdf
  77. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-south-africa.pdf
  78. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-south-korea.pdf
  79. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-spain.pdf
  80. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sri-lanka.pdf
  81. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sub-saharan-africa.pdf
  82. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sweden.pdf
  83. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-switzerland.pdf
  84. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-taiwan.pdf
  85. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-thailand.pdf
  86. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-tunisia-arabic.pdf
  87. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-tunisia-french.pdf
  88. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-turkey.pdf
  89. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ukraine.pdf
  90. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-arab-emirates.pdf
  91. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-kingdom.pdf
  92. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-states.pdf
  93. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-venezuela.pdf
  94. https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-vietnam.pdf