Medication Disclosure Forms
Access and download medication disclosure forms here
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Medicine and Occupational Health (MOH) Country and Site Phone Numbers (Password protected, same as the Medication Information Database)
MOH E-mail Addresses (Password protected, same as the Medication Information Database)
Please send the form to your country or site's MOH email address with your name and indicate that this is a Medication Disclosure on the subject line for ease of processing by MOH.
Medication Disclosure Forms
Angola
• Portuguese
• English
Belgium
• Dutch
• English
• French
Brazil
• Portuguese
• English
Canada
• English
• French
China
• Simplified Chinese
• English
Equatorial Guinea
• Spanish
• English
Finland
• Finnish
• English
France
• French
• English
Germany
• German
• English
Guadeloupe
• French
• English
Indonesia
• Indonesian
• English
Italy
Martinique
• French
• English
Netherlands
• Dutch
• English
New Caledonia
• French
• English
Norway
• Norwegian
• English
Qatar
• Arabic
• English
Russia - Sakhalin
• Russian
• English
Saudi Arabia
• Arabic
• English
South Korea
• Korean
• English
Sweden
• Swedish
• English
Turkey
• Turkish
• English