Report of Suspected Adverse Reaction due to Health Products Marketed
in Canada (Vaccines excluded)
There are multiple ways to report an adverse reaction to Health Canada:
The form below is fillable on your computer using Adobe Acrobat. Saving
can only be done using the full version of Acrobat or Adobe Approval,
not with the free Acrobat Reader. Alternatively, the form may be printed,
filled manually, and faxed or mailed to the Canadian Adverse Drug Reaction
Monitoring Program (see form for contact information). For
more information on fillable forms.
This document is available in PDF format
Filename:
ar-ei_form_e.pdf
Contact: CADRMP
Pages: 2
Size: 523 K,
Date of Original: 1998-12-01
Updated: 2006-04-25
Date Modified: 2006-04-07
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More about fillable forms
Help with fillable forms
Software for using fillable forms
Completing fillable forms
Printing forms that you've filled out
Submitting forms that you've filled out
Saving fillable forms
Trouble Shooting
Software for using fillable forms
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Saving forms that you've filled out
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Trouble Shooting
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Acrobat Reader 4.0 |
Acrobat Reader 5.0 |
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