HCP Information

* = mandatory field

Work Email Address*

Mobile Phone number*

Your email and phone number are required only for the purpose of using this Portal and will never be used for marketing or promotional purposes. Details on how we process your personal data and your related rights are set out in our privacy policy

Title*

First name*

Last name*

Irish Medical Council (IMC)*

As required by Health Products Regulatory Authority (HPRA) we need your address in order to be able to deliver you a hard copy of the educational content when required.

Name of institution of your primary workplace*

Street Address and number*

Eircode*

City*

By submitting this form, you acknowledge that UCB will be passing your details to the PCRS where you will be registered to the High Tech Hub and you will be able to prescribe Fintepla through the High Tech Hub.

Click below to download materials

Patient Guide Physician Guide Summary of Product Characteristics (SmPC) Patient Information Leaflet