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Materials and Services Request

To request any of CSL Behring’s services, healthcare professional or patient support resources, please tick the boxes below, and our Key Account Executives will be in contact.

Services

Privigen in-service delivered electronically via conference software

Hizentra in-service delivered electronically via conference software

Clinical Papers

Restabilization treatment after IVIg withdrawal in CIDP: Results from the pre-randomization phase of the PATH study

Subcutaneous immunoglobulin for maintenance treatment in CIDP (PATH): a randomised, double-blind, placebo-controlled, phase 3 trial

Efficacy and safety of IVIg in CIDP: Combined data on the PRIMA and PATH studies

Long-term safety and efficacy of subcutaneous immunoglobulin IgPro20 in CIDP

Clinical Assessment Resources

Overall Neuropathy Limitations Scale (ONLS) Pad

For more information, please visit our Neurology Healthcare Professional portal for a range of resources including instructional videos on performing outcome measures used in assessing patients with CIDP. Click here to visit.

Privigen Healthcare Professional Resources

Privigen FAQ and troubleshooting guide

Privigen Patient Support Resources

Getting ready for your Privigen infusion guide

Privigen patient information and treatment diary

Hizentra Healthcare Professional Resources

Hizentra FAQ and troubleshooting guide

Hizentra CIDP insulated patient bag

Hizentra Patient Support Resources

Hizentra patient information and treatment diary

Hizentra administration card

Approximately how many CIDP patients do you treat?

0-5

6-10

10-20

20+

Would you like more information on our subcutaneous Ig, Hizentra?

Yes

No

For other enquiries please click here.

Would you like to request an appointment with a CSL Behring representative to meet with you, either online, via phone or in person? *

Electronically

Face-to-face

Would you like the requested materials to be hard or soft copies? *

Hard copy

Soft copy

Both

Name: *

Hospital: *

Postal address: *

Email address *

Contact number:

The information requested on this form will be used by CSL Behring (Australia) Pty Ltd and its related bodies corporate (“CSL Behring”) in connection with providing you with your requested materials by our key account representatives. If this information is not provided it may not be possible to provide the materials requested. We may disclose personal information to third parties including related companies and contractors engaged to provide the requested service to you. Some of these entities may be located outside of Australia. The countries in which recipients may be located include (but are not limited to the United States, Switzerland and countries within the European Union). To the extent that you may be entitled to do so under the Privacy Act and any other applicable laws, you may request access to, or correction of, your personal information held by CSL Behring by contacting CSL Behring’s Privacy Officer by email: privacy@cslbehring.com, phone: (03) 9389 2000, fax: (03) 9389 1874, or by writing to CSL Behring (Australia) Pty Ltd, 45 Poplar Road, Parkville, Victoria 3052, Australia. Further information regarding CSL Behring’s handling of personal information, including how you can seek access to or correction of personal information held about you by CSL Behring and how you can make a complaint about our handling of personal information, is set out in our Privacy Policy available at www.cslbehring.com.au/privacy.