This request form is provided for your convenience to submit an inquiry directly to Terumo BCT Medical Affairs department. This form is not intended to be used to report a product complaint, adverse event or to request immediate assistance with a patient treatment. No patient identifiable information should ever be included in this form.
By submitting this form, I certify that I am submitting an unsolicited request for medical information without prompting from Terumo BCT personnel.*
Products available in select markets.