ADVERSE DRUG REACTION REPORTING FORM
For VOLUNTARY reporting of ADRs
Incuity Pharma Helpline : +91 90455 99556 (10:00 AM to 6:00 PM, Monday-Saturday)
If you would like to send us information by post, please download the form and mail to the following address:
Registered / Corporate Office:
Ground Floor, Khasra No. 581,
VPO Naya Gaon Palio,
Dehradun – 248007,
Uttarakhand, India.
Phone: +91-9045599556
Email: incuitypharma@gmail.com
To report adverse events, we recommend you use the email address incuitypharma@gmail.com. If additional information is required, please contact Incuity Pharma using the details provided above.
Incuity Pharma has a strong commitment to providing quality healthcare products. A comprehensive adverse event reporting system is maintained to ensure compliance with applicable regulatory requirements. Please help us by filling out the form below in the event of any adverse reactions. The information collected through these reports helps in the continuous assessment of the benefit-risk profile of our medicines and supports ongoing patient safety.
Who can report:
- Any healthcare professional (Doctors, Dentists, Nurses, Pharmacists, Patients, etc.)
- Non-healthcare professionals (Patient, Relative, Friend, etc.)
Confidentiality:
The patient’s identity is held in strict confidence and protected to the fullest extent. The company shall not disclose the reporter’s identity in response to a request from the public.