Cimzia

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Username:*

If you wish to register as a user, you will need to input your data into the following form.

The data will be reviewed by our patient care bureau and a password will be emailed out to you.

Title:*

First Name:*

Last Name:*

Profile Type:*

Speciality:*

Email:*

Confirm Email:*

Username:*

Password:*

Password must contain nine characters,including one UPPER/lowercase character,one number and one special charcter(!@#$%^&*()-+/)

Confirm Password:*

This field must be the same as the "Password" field.

Hospital:*

Ward:*

Address 1:*

Address 2:

County / City:*

Area / Town:*

Mobile Phone:*

Office Phone:*

Medical Council No:

NMBI PIN Number:

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For access by Irish healthcare professionals only.
Service provided by TCP Homecare on behalf of UCB Pharma

Service provided by TCP Homecare on behalf of UCB Pharma. Job bag number IE-N-CZ-axSpA-1900002. Date of Preparation: May 2019 (Version 1.0.0.2)