Suspected Adverse Reaction to Medicines / Borderline Products - Case Reporting form

If you suspect an adverse event to medicines / borderline products, please complete this form. Do not put off reporting because some details are not known. Submission of a report does not constitute an admission that medical personnel or the product caused or contributed to the adverse reaction. Identity of the patient and/or the reporter is kept strictly confidential.

Suspected Adverse Reaction to Medicines / Borderline Products - Case Reporting form