www.jazzpharma.com
Open in
urlscan Pro
67.227.159.164
Public Scan
URL:
https://www.jazzpharma.com/privacy-statement/
Submission: On January 29 via manual from IN — Scanned from DE
Submission: On January 29 via manual from IN — Scanned from DE
Form analysis 2 forms found in the DOM
<form onsubmit="return doCheckCFFormPR(this);" class="reqprivform">
<div class="contact-form">
<div class="row">
<div class="col-12">
<div>I am making this request for myself or on behalf of someone else <sup class="required">*</sup></div>
<div class="row">
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="request_source" id="request_source_1" value="Myself">
<label class="label-checkbox" for="request_source_1">Myself</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="request_source" id="request_source_2" value="On behalf of someone else">
<label class="label-checkbox" for="request_source_2">On behalf of someone else</label>
</div>
</div>
<div class="form-row">Select request type <sup class="required">*</sup> </div>
<div class="row">
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="request_type" id="request_type_1" value="Access Data">
<label class="label-checkbox" for="request_type_1">Access Data</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="request_type" id="request_type_2" value="Deletion request">
<label class="label-checkbox" for="request_type_2">Deletion request</label>
</div>
</div>
<div class="form-row">I am a (an) <sup class="required">*</sup> </div>
<div class="row">
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="i_am" id="i_am_1" value="Patient" onchange="doCheckWhoIam()">
<label class="label-checkbox" for="i_am_1">Patient</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="i_am" id="i_am_2" value="Other" onchange="doCheckWhoIam()">
<label class="label-checkbox" for="i_am_2">Other</label>
</div>
</div>
<div class="iamother mt-4" style="display: none">Other - please select if applicable </div>
<div class="row iamother" style="display: none">
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="i_am_other" id="i_am_other_1" value="Other – caregiver">
<label class="label-checkbox" for="i_am_other_1">Other – caregiver</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="radio" class="unregular-radio" name="i_am_other" id="i_am_other_2" value="Other – consumer">
<label class="label-checkbox" for="i_am_other_2">Other – consumer</label>
</div>
</div>
<div class="iapatient mt-4" style="display: none">Select Jazz Pharmaceuticals Product(s)<sup class="required">*</sup> </div>
<div class="row iapatient" style="display: none">
<div class="col-auto mt-3 checkbox-wrapper">
<input type="checkbox" class="unregular-checkbox" name="products[]" id="product1" value="Products 1">
<label class="label-checkbox" for="product1">Product 1</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="checkbox" class="unregular-checkbox" name="products[]" id="product2" value="Products 2">
<label class="label-checkbox" for="product2">Product 2</label>
</div>
<div class="col-auto mt-3 checkbox-wrapper">
<input type="checkbox" class="unregular-checkbox" name="products[]" id="product3" value="Products 3">
<label class="label-checkbox" for="product3">Product 3</label>
</div>
</div>
<div class="row">
<div class="col-12 col-md-6 form-row">
<label class="form-label">First Name <sup class="required">*</sup></label>
<input type="text" class="textField" name="first_name" id="first_name" data-check="First Name" value="">
</div>
<div class="col-12 col-md-6 form-row">
<label class="form-label">Last Name <sup class="required">*</sup></label>
<input type="text" class="textField" name="last_name" id="last_name" data-check="Last Name" value="">
</div>
<div class="col-12 col-md-6 form-row">
<label class="form-label">Date of Birth <sup class="required">*</sup></label>
<input type="text" class="textField" placeholder="MM/DD/YYYY" name="birthdate" id="birthdate" data-check="Date of Birth" value="">
</div>
<div class="col-12 col-md-6 form-row">
<label class="form-label">Email address <sup class="required">*</sup></label>
<input type="text" class="textField" name="email" id="email" value="" data-check="E-mail">
<small>Please use the email address you have previously provided to Jazz Pharmaceuticals</small>
</div>
<div class="col-12 col-md-6 form-row">
<label class="form-label">Phone <sup class="required">*</sup></label>
<input type="text" class="textField" name="tel" id="tel" value="" data-check="Telephone number">
</div>
<div class="col-12 col-md-6 form-row">
<label class="form-label">Address <sup class="required">*</sup></label>
<input type="text" class="textField" name="address" id="address" value="" data-check="Address">
</div>
<div class="col-12 col-md-6 form-row">
<label>City <sup class="required">*</sup></label>
<input type="text" class="textField" name="city" id="city" value="" data-check="City">
</div>
<div class="col-12 col-md-6 form-row">
<label>State <sup class="required">*</sup></label>
<input type="text" class="textField" name="state" id="state" value="" data-check="State">
</div>
<div class="col-12 col-md-6 form-row">
<label>ZIP <sup class="required">*</sup></label>
<input type="text" class="textField" name="zip" id="zip" value="" data-check="ZIP">
</div>
<div class="col-12 col-md-6 form-row">
<label>Country <sup class="required">*</sup></label>
<input type="text" class="textField" name="country" id="country" value="" data-check="Country">
</div>
<div class="col-12 my-5">
<button class="btn btn-primary send">SUBMIT</button>
</div>
<div class="col-12">
<p>By clicking “Submit” above you represent that you are a resident of the State of California as defined in Section 17014 of Title 18 of the California Code of Regulations</p>
<p>Jazz Pharmaceuticals, Inc. 3170 Porter Dr., Palo Alto, California 94304</p>
<p><a href="https://www.jazzpharma.com/privacy-statement/" target="_blank">https://www.jazzpharma.com/privacy-statement/</a></p>
<p>For further information please contact Jazz Pharmaceuticals’ Privacy Office at <a href="mailto:privacy@jazzpharma.com">privacy@jazzpharma.com</a> </p>
</div>
</div>
</div>
</div>
</div>
</form><form onsubmit="return doCheckCFForm(this);" class="cfform">
<div class="contact-form bg-greyLight">
<div class="md-flex-container col-2col">
<div class="col1">
<label class="form_first_row_a">
<label>First Name:</label>
<input type="text" name="cffirstname" id="cffirstname" value="">
</label>
<div class="form-row clearfix">
<label>Full Name:</label>
<input type="text" class="textField" name="cffname" id="cffname" data-check="Full Name" value="">
</div>
<div class="form-row clearfix">
<label>Title:</label>
<input type="text" class="textField" name="cftitle" id="cftitle" value="" data-check="Title">
</div>
<div class="form-row clearfix">
<label>Organization:</label>
<input type="text" class="textField" name="cforganization" id="cforganization" value="" data-check="Organization">
</div>
<div class="form-row clearfix">
<label>Address Line 1:</label>
<input type="text" class="textField" name="cfaddress1" id="cfaddress1" value="" data-check="Address Line 1">
</div>
<div class="form-row clearfix">
<label>Address Line 2:</label>
<input type="text" class="textField" name="cfaddress2" id="cfaddress2" value="">
</div>
<div class="form-row clearfix">
<label>City:</label>
<input type="text" class="textField" name="cfcity" id="cfcity" value="" data-check="City">
</div>
<div class="form-row clearfix">
<label>State:</label>
<select id="cfstate" class="textField" name="cfstate" data-check="State">
<option value="">- select state -</option>
<option value="no state">no state</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AS">American Samoa</option>
<option value="GU">Guam</option>
<option value="MH">Marshall Islands</option>
<option value="FM">Micronesia</option>
<option value="MP">Northern Marianas</option>
<option value="PW">Palau</option>
<option value="PR">Puerto Rico</option>
<option value="VI">Virgin Islands</option>
</select>
</div>
<div class="form-row clearfix">
<label>Zip Code:</label>
<input type="text" class="textField" name="cfzip" id="cfzip" value="" data-check="Zip Code">
</div>
<div class="form-row clearfix">
<label>Country:</label>
<input type="text" class="textField" name="cfcountry" id="cfcountry" value="" data-check="Country">
</div>
<div class="form-row clearfix">
<label>Phone Number:</label>
<input type="text" name="cfphone" class="textField" id="cfphone" value="" data-check="Phone Number">
</div>
<div class="form-row clearfix">
<label>Email Address:</label>
<input type="text" name="cfemail" class="textField" id="cfemail" value="" data-check="Email Address">
</div>
</div>
<div class="col2">
<div class="form-row clearfix">
<label>Therapeutic Area:</label>
<input type="text" class="textField" name="cftharea" id="cftharea" value="" data-check="Therapeutic Area">
</div>
<div class="form-row clearfix">
<label>Indication:</label>
<input type="text" class="textField" name="cfindication" id="cfindication" value="" data-check="Indication">
</div>
<div class="form-row clearfix">
<label>Mechanism of Action:</label>
<input type="text" class="textField" name="cfmecaction" id="cfmecaction" value="" data-check="Mechanism of Action">
</div>
<div class="form-row clearfix">
<label>Highest Development Phase:</label>
<input type="text" class="textField" name="cfphase" id="cfphase" value="" data-check="Highest Development Phase">
</div>
<div class="form-row clearfix">
<label>Overview of Opportunity<br><small>including non-confidential information supporting the rationale for the molecular target, proof-of-concept for a particular technology and other relevant details.</small></label>
<textarea class="textField" name="cfoverview" id="cfoverview" data-check="Overview of Opportunity"></textarea>
</div>
<div class="form-row clearfix">
<button class="btn btn-primary">Send</button>
</div>
</div>
</div>
</div>
</form>Text Content
THIS WEBSITE USES COOKIES
We use cookies to personalise content and ads, to provide social media features
and to analyse our traffic. We also share information about your use of our site
with our social media, advertising and analytics partners who may combine it
with other information that you’ve provided to them or that they’ve collected
from your use of their services.
Do not sell or share my personal information
Use necessary cookies only Allow all cookies Show details
OK
Use necessary cookies only Allow selection Allow all cookies
Necessary
Preferences
Statistics
Marketing
Show details
Cookie declaration [#IABV2SETTINGS#] About
Necessary (5) Preferences (1) Statistics (7) Marketing (1) Unclassified (0)
Necessary cookies help make a website usable by enabling basic functions like
page navigation and access to secure areas of the website. The website cannot
function properly without these cookies.
NameProviderPurposeExpiryType1.gifCookiebotUsed to count the number of sessions
to the website, necessary for optimizing CMP product delivery.
SessionPixelPHPSESSID [x2]jazzcares.com
www.jazzpharma.comPreserves user session state across page
requests.SessionHTTPCookieConsentCookiebotStores the user's cookie consent state
for the current domain1 yearHTTPwpEmojiSettingsSupportswww.jazzpharma.comThis
cookie is part of a bundle of cookies which serve the purpose of content
delivery and presentation. The cookies keep the correct state of font,
blog/picture sliders, color themes and other website settings.SessionHTML
Preference cookies enable a website to remember information that changes the way
the website behaves or looks, like your preferred language or the region that
you are in.
NameProviderPurposeExpiryTypewistia-video-progress-#www.jazzpharma.comContains a
timestamp for the website’s video-content. This allows the user to resume
watching without having to start over, if the user leaves the video or website.
PersistentHTML
Statistic cookies help website owners to understand how visitors interact with
websites by collecting and reporting information anonymously.
NameProviderPurposeExpiryTypewistiawww.jazzpharma.comUsed by the website to
track the visitor's use of video-content - The cookie roots from Wistia, which
provides video-software to websites.PersistentHTMLcollectGoogleUsed to send data
to Google Analytics about the visitor's device and behavior. Tracks the visitor
across devices and marketing channels.SessionPixel_gaGoogleRegisters a unique ID
that is used to generate statistical data on how the visitor uses the website.2
yearsHTTP_ga_#GoogleUsed by Google Analytics to collect data on the number of
times a user has visited the website as well as dates for the first and most
recent visit. 2 yearsHTTP_gatGoogleUsed by Google Analytics to throttle request
rate1 dayHTTP_gidGoogleRegisters a unique ID that is used to generate
statistical data on how the visitor uses the website.1 dayHTTPtdGoogleRegisters
statistical data on users' behaviour on the website. Used for internal analytics
by the website operator. SessionPixel
Marketing cookies are used to track visitors across websites. The intention is
to display ads that are relevant and engaging for the individual user and
thereby more valuable for publishers and third party advertisers.
NameProviderPurposeExpiryTypeads/ga-audiencesGoogleUsed by Google AdWords to
re-engage visitors that are likely to convert to customers based on the
visitor's online behaviour across websites.SessionPixel
Unclassified cookies are cookies that we are in the process of classifying,
together with the providers of individual cookies.
We do not use cookies of this type.
[#IABV2_LABEL_PURPOSES#] [#IABV2_LABEL_FEATURES#] [#IABV2_LABEL_PARTNERS#]
[#IABV2_BODY_PURPOSES#]
[#IABV2_BODY_FEATURES#]
[#IABV2_BODY_PARTNERS#]
Cookies are small text files that can be used by websites to make a user's
experience more efficient.
The law states that we can store cookies on your device if they are strictly
necessary for the operation of this site. For all other types of cookies we need
your permission.
This site uses different types of cookies. Some cookies are placed by third
party services that appear on our pages.
You can at any time change or withdraw your consent from the Cookie Declaration
on our website.
Learn more about who we are, how you can contact us and how we process personal
data in our Privacy Policy.
Please state your consent ID and date when you contact us regarding your
consent.
Cookie declaration last updated on 08.01.24 by Cookiebot
This site is intended for a global audience
Contact Us
* About
* Leadership
* Board of Directors
* Global Footprint
* Australia and New Zealand
* Benelux Region
* Canada
* France
* Germany and Austria
* United Kingdom and Ireland
* Italy
* Spain and Portugal
* Nordic Region
* United States
* Countries Supplied through Partners
* History
* Corporate Values
* Corporate Development
* Partnering
* Contact
* Pioneering Pathways
* Medicines
* Our Medicines
* Drug Safety
* Medical Information US
* Medical Information Outside of the US
* Manufacturing
* Science
* Pipeline
* Clinical Trials
* Non-Interventional Studies
* GW Cannabinoid Platform
* Expanded Access
* Independent Scientific Research
* Clinical Trial Data Sharing
* Plain Language Summary
* Our Purpose
* Patient Support
* Corporate Giving
* Patient Resources
* Corporate Sustainability and Social Impact
* Ethical Standards
* Medical Education
* Fellowships
* Transfers of Value in Europe
* Our Stories
* Science Stories
* Patient & Caregiver Stories
* Leader Perspectives
* News
* Press Release Archive
* Events Archive
* Company News
* Investors
* Events / Presentations
* Financials
* SEC Filings
* Quarterly Results
* Annual Reports
* Stock Information
* Resources
* FAQs
* Email Alerts
* Analyst Coverage
* Information Request
* Other Information
* Careers
Home Privacy Statement
PRIVACY STATEMENT
* Privacy Statement
* Supplemental Notice for California Consumers
* Terms of Use
* Sitemap
Last Updated: April 14, 2022
Please click on the relevant link below to read our Privacy Statement in your
preferred language:
* Danish
* Dutch
* English
* Finnish
* French
* German
* Italian
* Japanese
* Norwegian
* Polish
* Portuguese
* Spanish
* Swedish
* About
* Pioneering Pathways
* Medicines
* Science
* Our Purpose
* Our Stories
* News
* Careers
* Investors
© 2024 Jazz Pharmaceuticals, Inc. All Rights Reserved.
This site is intended for a global audience
* Privacy Statement
* Terms of Use
* Social Media Global Guidelines
* Cookie Policy
* Sitemap
PRIVACY REQUEST FORM
Thank you! We'll get back to you shortly.
Sending data...
Please select and enter the required fields on the form below. We need this
information to process your request and to take necessary steps to verify your
identity.
We will contact you if we need any additional information
I am making this request for myself or on behalf of someone else *
Myself
On behalf of someone else
Select request type *
Access Data
Deletion request
I am a (an) *
Patient
Other
Other - please select if applicable
Other – caregiver
Other – consumer
Select Jazz Pharmaceuticals Product(s)*
Product 1
Product 2
Product 3
First Name *
Last Name *
Date of Birth *
Email address * Please use the email address you have previously provided to
Jazz Pharmaceuticals
Phone *
Address *
City *
State *
ZIP *
Country *
SUBMIT
By clicking “Submit” above you represent that you are a resident of the State of
California as defined in Section 17014 of Title 18 of the California Code of
Regulations
Jazz Pharmaceuticals, Inc. 3170 Porter Dr., Palo Alto, California 94304
https://www.jazzpharma.com/privacy-statement/
For further information please contact Jazz Pharmaceuticals’ Privacy Office at
privacy@jazzpharma.com
Thank you for contacting Jazz Pharmaceuticals Corporate Development & Partnering
Sending data...
CONTACT CORPORATE DEVELOPMENT / PARTNERING
Personal Information (All fields are required)
Please provide details on this opportunity
First Name:
Full Name:
Title:
Organization:
Address Line 1:
Address Line 2:
City:
State: - select state - no state Alabama Alaska Arizona Arkansas California
Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho
Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts
Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire
New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon
Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah
Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Guam
Marshall Islands Micronesia Northern Marianas Palau Puerto Rico Virgin Islands
Zip Code:
Country:
Phone Number:
Email Address:
Therapeutic Area:
Indication:
Mechanism of Action:
Highest Development Phase:
Overview of Opportunity
including non-confidential information supporting the rationale for the
molecular target, proof-of-concept for a particular technology and other
relevant details.
Send
The information on this page is intended for visitors in
Continue
This page is for U.S. residents only. By clicking on this page, you confirm you
are a U.S. resident.
Continue
You are leaving the Privacy Statement page
Leave
You are leaving the Privacy Statement page
Leave
Thank you for visiting JazzPharma.com. The site you are about to visit is
maintained by a third party who is solely responsible for its content; Jazz
Pharmaceuticals is not responsible for the content or privacy practices of any
third-party websites. Click Cancel to return or OK to continue.
Ok Cancel
You are now leaving www.JazzPharma.com. Thank you for visiting. The information
on the website you are entering is intended for visitors in the United States
only.
Ok Cancel
The information on this page is only intended for visitors in the United States
Continue
You are now leaving www.JazzPharma.com. Thank you for visiting.
Ok Cancel