ADVERSE EVENT REPORTING FORM

VILARSH SAYS

"Vilarsh Healthcare cares about the health of consumers and the safety of its products.

Following the ethical principles and requirements of Indian/world legislation, Vilarsh Healthcare collects and analyses information about side effects and drug interactions, and also actively collaborates with regulatory authorities in this area."

REPORT TO VILARSH HEALTHCARE

Reporter Informations

Patient Information

Suspect Product Information 1:

Suspect Product Information 2:

Concomitant Product Information 1:

Concomitant Product Information 2:

Adverse Event Information 1:

Adverse Event Information 2:

Word (.doc, .docx), PDF and Text (.txt), Image only - Maximum 1 MB file size

Word (.doc, .docx), PDF and Text (.txt), Image only - Maximum 1 MB file size

Word (.doc, .docx), PDF and Text (.txt), Image only - Maximum 1 MB file size


Important Note: Kindly Attach all case documents like patient history/Lab reports/Product's Images/Any other information documents

Please click here to download Adverse Event reporting form.


Let us inform you about everything important directly.