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To submit your symptom diary for review by an Ob/Gyn nurse

You will need a patient code. The patient code helps us to identify you but also protect your privacy. We will never know your name, location, age or any other information for virtual diary assessment. Please use the form below to let us know you would like a patient code, and we will email or whatsapp the code to the correspondence details you indicate

Request a patient code by submitting the information below

In the fields below please indicate the email address, whatsapp number or both, that you will use to communicate with us. We will send your patient code to them. We only process symptom diaries of patient codes when they match the correspondence details

If you have forgotten your code, or have changed correspondence information, please send an email to

info@naijafem.com,
or a
whatsapp message to 00 34 6 24 75 19 61

specifying change in the subject line,
and let us know either your patient code and the new correspondence details, or indicate 'forgotten code' and we will send the info to you.

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