Medical Information Request

This online form is intended for healthcare professionals only.

If you are a patient or caregiver, please contact a doctor.

In the event of a suspected adverse event or side effect, please use our Adverse Event Notification / Product Complaint form.

If your question is not medical in nature, please use the appropriate category on our main contact page.

Dalita's Medical Information Service aims to answer most questions within 3 working days. If your request is urgent, please indicate this in the form.

Responses are provided in English. If you require a translation, please mention this in your request (additional processing time may apply).

Medical Request

Country *

Preferred language *

Medicine *

Request *

Please provide as much detail as possible regarding dosage, formulation, and indication to receive an accurate and prompt response.

Desired answer

Contact details

Title

Sex

First name *

Name *

Occupation *

Address 1

Address 2

City

Postal code

Phone

E-mail *

Confirm the email *

Data Protection

Get in Touch

contact@dalita.ch
+41 22 710 0555

Medical Inquiries

For Healthcare Professionals. You may alternatively contact us using the dedicated online form.

Medical Inquiry Form →

Safety Reporting

If you wish to report an adverse event or a product complaint, please submit the information here.

Safety Reporting Form →