Adverse Drug Reaction Reporting for Patients

Melding van bijwerkingen (HCP)

Fill in a form for the health care professional

Melding van bijwerkingen (niet-HCP)

Fill in a form for non- healthcare professional

If you suspect that you have experienced any adverse events from the use of any Accord product please contact us either through the form below or via our address or telephone +31 (0)30 850 6014 so that we can assist you.

First Name *

Surname

Detail of the event

Address

Postcode

Country *

Email address *

Telephone number *

* Required information

ACCORD HEALTHCARE B.V.
Winthontlaan 200
Postbus 85183
3508 AD Utrecht

Tel: +31 (0)30 850 6014
Fax: +31 (0)30 850 6013