Individual Rights Request Form

Welcome to Hikma’s Individual Rights Request form

Please provide the information requested below to the best of your ability. Items with an asterix (*) denote required fields.

We will respond to your request as required by applicable state law. Depending on the nature of your request, we may need to contact you for additional information and for verification purposes. Please note that your email address is required so that we can provide final confirmation on how your request was handled. Personal information provided on this form will only be used to process your request. For additional information regarding privacy at Hikma please visit privacy policy page

Consumer Rights Request Form