Koçak Farma Drug Adverse Reaction/ Side Effect Reporting Form
Name and Surname of patient
Birth date of patient (day/month/year)
Gender of patient
Name of suspected Drug
Name of co-administered other Drugs
Adverse event and reason for reporting
Name and Surname of reporter
e-mail address of reporter
Phone number of reporter
Security code
Security Code
KVKK aydınlatma metnini okudum.
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You can report the side effect/ adverse event reports related to the drugs of Farmako, by filling the form above or by calling the Pharmacovigilance specialist of the company Farmako with the phone number: “0530 313 83 91”.

General Management:
KOÇAK PLAZA
Mahmutbey, 2477 St. No : 23, 34218 Bağcılar-İstanbul