 ##  [Managed Access patient privacy notice and consent templates](/healthcare-professionals/managed-access-programs/managed-access-patient-privacy-notice-and-consent-templates "Managed Access patient privacy notice and consent templates") 

 Country‑specific patient privacy notice and consent templates for Managed Access Programs (MAPs) and Post‑Study Drug Supplies (PSDS) are available below.

The use of these templates is optional, and physicians may use an equivalent template provided by their institution or hospital, as appropriate.



 



 [    Algeria in arabic  (216 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-algeria-arabic.pdf) [    Algeria in french  (102 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-algeria-french.pdf) [    Argentina  (117 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-argentina.pdf) [    Australia  (103 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-australia.pdf) [    Austria  (159 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-austria.pdf) [    Bahrain  (118 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bahrain.pdf) [    Bangladesh  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bangladesh.pdf) [    Belgium  (99 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-belgium.pdf) [    Bosnia and Herzegovina  (223 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bosnia-herzegovina.pdf) [    Brazil  (137 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-brazil.pdf) [    Brunei Darussalam  (108 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-brunei-darussalam.pdf) [    Bulgaria  (117 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-bulgaria.pdf) [    Canada  (79 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-canada.pdf) [    Chile  (115 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-chile.pdf) [    China  (267 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-china.pdf) [    Colombia  (130 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-colombia.pdf) [    Costa Rica  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-costa-rica.pdf) [    Croatia  (110 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-croatia.pdf) [    Cyprus  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-cyprus.pdf) [    Czech Republic  (109 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-czech-republic.pdf) [    Denmark  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-denmark.pdf) [    Ecuador  (116 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ecuador.pdf) [    Egypt  (335 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-egypt.pdf) [    El Salvador  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-el-salvador.pdf) [    Estonia  (97 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-estonia.pdf) [    Finland  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-finland.pdf) [    France  (115 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-france.pdf) [    Georgia  (127 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-georgia.pdf) [    Germany  (196 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-germany.pdf) [    Greece  (105 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-greece.pdf) [    Guatemala  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-guatemala.pdf) [    Honduras  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-honduras.pdf) [    Hong Kong  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-hong-kong.pdf) [    Hungary  (90 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-hungary.pdf) [    Iceland  (103 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-iceland.pdf) [    India  (109 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-india.pdf) [    Indonesia  (113 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-indonesia.pdf) [    Ireland  (109 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ireland.pdf) [    Israel  (99 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-israel.pdf) [    Italy  (111 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-italy.pdf) [    Japan  (645 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-japan.pdf) [    Jordan  (148 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-jordan.pdf) [    Kuwait  (118 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-kuwait.pdf) [    Latvia  (100 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-latvia.pdf) [    Lebanon  (148 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-lebanon.pdf) [    Lithuania  (103 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-lithuania.pdf) [    Luxembourg  (97 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-luxembourg.pdf) [    Malaysia  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-malaysia.pdf) [    Maldives  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-maldives.pdf) [    Malta  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-malta.pdf) [    Mexico  (109 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-mexico.pdf) [    Montenegro  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-montenegro.pdf) [    Morocco in arabic  (216 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-morocco-arabic.pdf) [    Morocco in french  (102 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-morocco-french.pdf) [    Myanmar  (96 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-myanmar.pdf) [    Netherlands  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-netherlands.pdf) [    New Zealand  (103 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-new-zealand.pdf) [    Nicaragua  (100 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-nicaragua.pdf) [    Norway  (101 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-norway.pdf) [    Oman  (116 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-oman.pdf) [    Pakistan  (96 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-pakistan.pdf) [    Palestine  (148 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-palestine.pdf) [    Panama  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-panama.pdf) [    Peru  (113 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-peru.pdf) [    Poland  (123 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-poland.pdf) [    Portugal  (100 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-portugal.pdf) [    Qatar  (118 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-qatar.pdf) [    Republica Dominicana  (98 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-republica-dominicana.pdf) [    Romania  (145 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-romania.pdf) [    Russia  (244 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-russia.pdf) [    Saudi Arabia  (89 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-saudi-arabia.pdf) [    Serbia  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-serbia.pdf) [    Singapore  (105 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-singapore.pdf) [    Slovakia  (96 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-slovakia.pdf) [    Slovenia  (107 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-slovenia.pdf) [    South Africa  (108 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-south-africa.pdf) [    South Korea  (275 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-south-korea.pdf) [    Spain  (106 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-spain.pdf) [    Sri Lanka  (108 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sri-lanka.pdf) [    Sub-Saharan Africa  (107 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sub-saharan-africa.pdf) [    Sweden  (102 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-sweden.pdf) [    Switzerland  (125 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-switzerland.pdf) [    Taiwan  (228 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-taiwan.pdf) [    Thailand  (233 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-thailand.pdf) [    Tunisia in arabic  (217 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-tunisia-arabic.pdf) [    Tunisia in french  (103 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-tunisia-french.pdf) [    Turkey  (147 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-turkey.pdf) [    Ukraine  (300 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-ukraine.pdf) [    United Arab Emirates  (118 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-arab-emirates.pdf) [    United Kingdom  (99 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-kingdom.pdf) [    United States  (104 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-united-states.pdf) [    Venezuela  (116 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-venezuela.pdf) [    Vietnam  (217 KB)   ](https://www.novartis.com/sites/novartis_com/files/map-psds-patient-privacy-notice-consent-vietnam.pdf)