Submit a Case Report
If you feel that you have a case to report, we would greatly appreciate the details. Reports such as these form the backbone of our Registry.
You may submit your case report to us by completing our case report form (below) and returning it to us by either:
FAX - 503-494-3929
EMAIL - [email protected]
Or you may use the "Contact Us" form below to easily and quickly send us the details of your case. Please refer to our case report form so that you know which details are most beneficial to us.
You may submit your case report to us by completing our case report form (below) and returning it to us by either:
FAX - 503-494-3929
EMAIL - [email protected]
Or you may use the "Contact Us" form below to easily and quickly send us the details of your case. Please refer to our case report form so that you know which details are most beneficial to us.
| nrdiose_adverse_reaction_case_report_form.pdf |
