有害事象報告

有害事象報告

有害事象が確認された場合、下記の必要事項の記入をお願いいたします。
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入力内容のご確認

施設名
診療科名
都道府県
市区町村
報告者職種
報告者氏名
Telephone number
E-mail address
（確認）メールアドレス

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LTLファーマ

Privacy policy

LTL Pharma complies with the Act on the Protection of Personal Information and all applicable laws, regulations and guidelines. We appropriately and securely handle personal information obtained through inquiry forms.

  1. Personal information to be obtained

    The following personal information will be obtained from the form of inquiry.
    • Name
    • Company name
    • Address
    • Department
    • Telephone number
    • E-mail address
    • Other information described in the form of inquiry

  2. Purpose to use

    The obtained personal information will be used for the following purpose.
    • Answer to an inquiry and contact
    • Confirmation of inquiry
    • Information about our services (including related information to be provided)
    • Analysis to improve our services as well as their quality
    • Carrying out other affairs associated with the above

  3. Providing to third party

    Except for the followings, we don’t provide personal information to third party without consent with a person concerned.
    • A case based on laws and regulations
    • A case where it is necessary to protect human life, body and property and it is difficult to obtain consent of the person concerned
    • A case where it is necessary to cooperate with a public organization, e.g. national or local governments etc.

  4. Management of personal information

    We will take proper measures of safety management to prevent the obtained personal information from leakage, destruction or damage, including a measure for information security, e.g. a measure against unauthorized access etc..

  5. Disclosure, correction and deletion etc.

    In case where a person concerned requests disclosure, correction, addition, deletion and/or suspension of use of own personal information, we will appropriately manage the request by complying with the legislation.

  6. Contact for inquiry

    Please send an inquiry about management of personal information to the following address:

    LTL Pharma Co., Ltd.
    Nittochi Nishi-shinjuku Building 13F 6-10-1 Nishi-shinjuku, Shinjuku-ku, Tokyo 160-0023 Japan

  7. Revision

    We will revise the policy as necessary. The revision will come into effect when it is published on our website.

Effective Date: July 21, 2026
Last Updated: July 21, 2026