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Reporting forms

Downloadable and printable forms for reporting suspected side effects

  • Member of public Yellow Card reporting form (Dec 2018) side effects

    Downloadable and printable Yellow Card form for members of the public to report suspected side effects

    Download (PDF, 388 kb)

  • Healthcare professional Yellow Card reporting form (Dec 2018) suspected adverse drug reactions

    Downloadable and printable Yellow Card form for healthcare professionals to report suspected adverse drug reactions

    Download (PDF, 68 kb)

  • Welsh Member of the public Yellow Card information pamphlet and English reporting form

    Information pamphlet on reporting suspected side effects in Welsh including a member of the public paper reporting form in English at the end of the pamphlet that can be downloaded and printed. Please ensure the Yellow Card report is completed in English please.

    Download (PDF, 1210 kb)