Pfizer Encompass Enrollment Form For Inflectra

Pfizer enCompass Enrollment Form for INFLECTRA …

Pfizer enCompass ® Enrollment Form for INFLECTRA ® (infliximab-dyyb) for Injection and RUXIENCE (rituximab-pvvr) *PRINT NAME OF PATIENT PATIENT SIGNATURE DATE 5. PATIENT CONSENT TO RECEIVE COMMUNICATIONS By signing this form, I agree to communications from Pfizer, Pfizer enCompass, and/or parties acting on their behalf to …

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