Victim Registration

Following the introduction of the Bosscher Foundation website, it is now possible to register yourself as a victim, or relative of a victim, of articaine hydrochloride, a component of:
Ultracaine™ available in The Netherlands, Belgium, Germany and many other countries
Septanest™ available in Canada, France, Spain and many other countries
Citocain™ available in Italy, Russia, Spain and Japan
Primacaine™ available in Italy, France, Russia, Poland and India
Septocaine™ available in USA and Scandinavia
Ubistesine™ available in Germany, Belgium, The Netherlands and many other countries
Alphacaine™ available in France, Germany and many other countries

Why this victim registration?
In order to gain a good (international) overview of the health-related complaints relating to articaine, it is important to get in contact with potential victims and their relatives. We have formulated a number of questions to make this possible.

Please be advised that the answers to these questions could serve as the basis for future legal cases.

It is of outmost importance to state that any information that you supply will never be submitted to any third party without your express permission. If for any reason we should want to use this information, you will be contacted in advance.

  • Name:
  • E-mail:
  • Sex:


  • Full address:
  • Why do you believe yourself to be a victim of articaine?
  • What are your symptoms?
     
     
  • When were you treated with this product?
  • For what reason were you treated and by whom?
  • How often have you been treated with articaine?
  • Have you already taken legal action?


  • Other comments:
   
 

If you have filled in your email address correctly, you will receive directly a confirmation.