HCP Medical Request Form /
Adverse Event Reporting

If you would like information about Secura Bio product/s, or research program, please complete the Medical Information Request form below, call 1-678-581-4536 Monday to Friday 9:00am to 6:00pm EST or email SecuraBio@tmacmail.com.

To report an Adverse Event or Product Complaint:

Please call 1-844-9SECURA (844-973-2872) Monday to Friday, 10:00 AM to 7:00 PM EST, fax 1-678-899-6388 or email SecuraBio@tmacmail.com

* = required fields









Please complete the reCAPTCHA verification below.

USCPR2214102