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Quality
and safety

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With the view of your safety we offer you the possibility to report
the undesired effects of medical products or medical incidents.
You can also make a complaint

How to report the undesired effects of the medical product?

Download the form header logo The undesired effect
of the medical product
report form for the patient (.pdf)

Complete the printed form

header logo Complete the printed form
as accurately as possible

Send e-mail

header logo InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa
aneta.czwartek@inpharm.pl inpharm@inpharm.pl

How to report a medical incident?

Download the form header logo The medical incident
report form (.pdf)

Complete the printed form

header logo Complete the printed form
as accurately as possible

Send e-mail

header logo InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa
aneta.czwartek@inpharm.pl inpharm@inpharm.pl

Complete the printed form

Send e-mail

header logo
header logo
header logo
The undesired effect
of the medical product
report form for the patient (.pdf)

Complete the printed form
as accurately as possible

InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa

aneta.czwartek@inpharm.pl inpharm@inpharm.pl

How to report a medical incident?

Complete the printed form

Send e-mail

header logo
header logo
header logo
The medical incident
report form (.pdf)

Complete the printed form
as accurately as possible

InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa

aneta.czwartek@inpharm.pl inpharm@inpharm.pl

Aneta Czwartek-Piórkowska

Person responsible for supervising the safety
of use of the medical products (QPPV)

How to report a complaint?

Download the form header logo Complaint form (.pdf)

Complete the printed form

header logo Complete the printed form
as accurately as possible

Send e-mail

header logo InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa
reklamacje@inpharm.pl

How to report a complaint?

Complete the printed form

Send e-mail

header logo
header logo
header logo
Complaint form (.pdf)

Complete the printed form
as accurately as possible

InPharm sp. z o.o
ul. Chełmżyńska 249
04-458 Warszawa

reklamacje@inpharm.pl
The control sheet for the prescription of Mysimba download download icon