ADVERSE DRUG REACTION REPORTING FORM
For VOLUNTARY reporting of ADRs
Pharmacovigilance Helpline : +91 8558880915 (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:
Innovative Lifesciences Pharmacovigilance Department
Khasra no 508Ga Ground floor,
Mauza Pelio Natthuwala,
Naya Gaon Pelio,
Dehradun 248007, uttarakhand, India
Phone:
+91 8558 880915
Email:
aligentiscosmo@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.