ADVERSE DRUG REACTION REPORTING FORM
For VOLUNTARY reporting of ADRs
Incuity Pharma Pvt. Ltd. Pharmacovigilance Helpline : +91 8558880915 (10:00 AM to 6:00 PM, Monday-Saturday)
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If you prefer to submit your report by mail, download the reporting form and send the completed form to the address below.
Incuity Pharma Pvt. Ltd. Pharmacovigilance Department
Ground Floor Khasra No 581,
VPO Naya Gaon Palio,
Dehradun Uttarakhand 248007
Phone:
+91 8558880915
Email:
 Incuitypharma@gmail.com
Adverse Event Reporting
To report an adverse event, we recommend contacting our Pharmacovigilance team using the email address provided above. If additional information is required, our team will get in touch with you.
Aligentis is committed to maintaining the highest standards of patient safety. All adverse event reports are reviewed in accordance with applicable pharmacovigilance regulations to help monitor the safety and benefit-risk profile of our products.
Who Can Report?
-
Healthcare Professionals (Doctors, Dentists, Nurses, Pharmacists, etc.)
- Patients, Caregivers, Relatives, or Consumers
Confidentiality
All personal and medical information provided will be treated as strictly confidential and handled in accordance with our Privacy Policy and applicable data protection regulations.