|GUIDE TO THE FORM
NOTIFICATION OF DIATER SRA
SUSPECTED ADVERSE REACTION
From the Pharmacovigilance Department of Diater, Laboratorio de Diagnóstico y Aplicaciones Terapéuticas S.A. (DIATER) and in compliance with the legal obligations regarding suspected adverse reactions (SAR) of which Diater is informed, we request you to provide us with the relevant personal data for the correct assessment and follow-up of the SAR after treatment with one of our medicinal products. In compliance with healthcare standards and the Spanish Personal Data Protection Act (LOPD), the personal data with which we are provided will be added to DIATER’s pharmacovigilance file for the management of the SAR which you inform us of, for the notification of the SAR by DIATER to the Healthcare Authorities, if applicable, and for the follow-up of said notification, if applicable.
We remind you that, in compliance with healthcare standards and data protection, you should not communicate data which allow the identification of the patient. You should only provide the following types of data: date of birth, age, sex, weight and/or height of the patient. Under no circumstances should you provide the name and surname or initials.
You can exercise your rights to access, rectify, cancel and oppose your data by writing to the following address: Diater Laboratorios S.A., Avda. Gregorio Peces Barba, 2- Parque Tecnológico de Leganés- 28918 Leganés, Madrid