The PDA is collating information from pharmacists whose data has been breached by Well pharmacy. Please complete the form below to let us know if you want to be part of the group of claimants seeking compensation.

After completing this form, please send all relevant documents associated with your case to enquiries@the-pda.org with "Well Pharmacy" in the subject line

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* 1. Please provide your contact details (complete all fields)

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* 2. Are you a PDA member?

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* 3. Has Well confirmed to you whether your data has been breached?

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* 4. Do you want to be part of the group of claimants against Well Pharmacy?

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* 5. Please provide any further information you feel may be relevant

Note: please email all relevant documents associated with your case to enquiries@the-pda.org with "Well Pharmacy" in the subject line

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