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Patient Safety Reporting

    Who are you?

    I am a healthcare professionalI am a relative of the patientI am the patient and reporter  I am Biocare Employee

    What’s your complaint?

    Adverse Drug Reaction(s)Adverse Event(s)Product Technical Complaint(s)Lack of Efficacy

    Your details

    Name:

    E-mail:

    Postal Code:                        

    Mobile :

    Complete Address :

    Country:

    Patient’s Name (We will keep this confidential)

    Patient’s Name:

    Mobile Number:

    Gender:

    Duration of Treatment:

    Age:

    Patients Address:

    Diagnosis:

    I, the patient/ reporter, provide my consent to Biocare Lifesciences Inc. to contact me via

    Please provide the medical history

    Is the patient taking any other medications?

    If yes, provide the details of the other medicines

    Generic Name

    Dosage strength and from

    Expiry Date

    Brand Name if any

    Batch Number

    Dosage Instructions

    Would you like to share any other information related to the case?

    About Biocare

    Established in 2011, Biocare Lifesciences, Inc. is a Philippine-based pharmaceutical company engaged in the importation, registration, distribution, and marketing of high-quality pharmaceutical products across the country. 

    Monday-Friday

    09:00 am - 05:30 pm

    Quick Links

    Reach Us

    • Units 920-931, 9th Floor, Centuria Medical Makati, General Luna St., Century City, Brgy. Poblacion, Makati City, 1210, Philippines
    • info@biocarelifesciences.com
    • +63-2-88333686
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