REPORTING ADVERSE 
MEDICINAL PRODUCTS REACTIONS

Information on monitoring the safety of medicines and reporting side effects can be found on the website of the Office for Registration of Medicinal Products, Medical Devices and Biocidal Products

FORM FOR PATIENTS AND THEIR FAMILIES/GUARDIANS
FORM FOR PROFESSIONAL HEALTHCARE EMPLOYEES

REPORTING NEGATIVE REACTIONS TO COSMETICS

f you want to report a negative reaction after applying a cosmetic, please download the form below, print it and then fill it in. Please send the scanned or original document to the address indicated at the bottom of the page.

FORM FOR REPORTING NEGATIVE REACTIONS TO COSMETICS
E-MAIL ADDRESS TO REPORT NEGATIVE REACTIONS: pv@rapofarm.pl

Contact details to contact QPPV at AXXON :

AXXON Sp. z o.o.
ul. Baletowa 30,
02-867 Warszawa
tel: +48 22 855 40 93
fax: +48 22 855 40 95

24/7 contact details:
dr n. farm. Piotr Ślifirski
QPPV
tel. 24h: +48 510 143 752
phv@axxon-pharma.pl