I agree to give consent for Brown and Burk (UK) Ltd to collect, process and store the personal data (of self/ consumer/child less than 16 years of age) which is required for monitoring the safety profile of the medicinal product in question.
If the reported information is for a child below 16 years of age, the above consent would be treated as given or authorized by the holder of parental responsibility over the child.
The personal data collected will be kept confidential or anonymous.
