For non-medical staff

Form for reporting adverse reactions by non-medical staff

The information you provide is extremely important to detect suspected adverse reactions towards medicinal products authorized for use on the territory of Bulgaria. We will need your contact details for feedback purposes to confirm receipt of the message, and if necessary to request additional information and inform you of the measures taken. We assure you that the personal data of the reporter / patient is treated in accordance with the Personal Data protection Act. Identification number of Bestamed Ltd. for processing of personal data: 414601.

Please note that some fields marked with an asterisk (*) require mandatory filing to accept your message as valid. However, we ask you to fill in as much data as possible, because it is important for the assessment of your message.

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