Opt In Form | CSL Vifor

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Consent form for Healthcare Professionals

If you, as an HCP, wish to receive electronic promotional and non-promotional information from CSL Behring Canada Inc. d/b/a CSL Vifor, please subscribe using this form.

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National HCP number (if applicable)

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Select the channels through which you agree to receive the communications and specify the corresponding contact details:

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I hereby consent to receive communications from the CSL Behring Canada Inc. d/b/a CSL Vifor, including promotional and non-promotional information, through the channels I have selected above, as specified in the Privacy Notice

CONSENT FORM FOR HCPS

Consent form for Healthcare Professionals

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