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Side Effect Notification
Side Effect Notification
Absolutely Declare!
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You can notify our authorities by filling out the following form of side effects / adverse reaction notices about our products or by calling us on our phones in the communication section.

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Side Effect Notification Form
Name of the patient Initials of the surname
Date of Birth (Day / Month / Year)
Gender
Name of Suspected Drug That Caused Side Effects
Describe the patient complaint briefly
A Phone Number to contact the patient or the person making the notification

For your side-effect notices, please call 0 216 326 77 12 or email pharmacovigilance@pharmasoft.com.