Medication Disclosure Forms

Access and download medication disclosure forms here

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Ministry of 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.

Angola
Portuguese
English

Argentina
Spanish
English

Australia

Belgium
Dutch
English
French

Brazil
Portuguese
English

Cameroon

Canada
English
French

Chad
• French
• English

China
• Simplified Chinese
• English

Colombia
Spanish
English

Cyprus
• Greek
• English

Egypt

Equatorial Guinea
• Spanish
• English

Fiji

Finland
• Finnish
• English

France
• French
• English

Germany
• German
• English

Guadeloupe
• French
• English

Guam

Hong Kong
Chinese
English

Indonesia
• Indonesian
• English

Ireland

Italy

Malaysia

Martinique
• French
• English

Mexico
Spanish
English

Netherlands
• Dutch
• English

New Caledonia
• French
• English

New Zealand

Nigeria

Norway
• Norwegian
• English

Papua New Guinea

Peru
• Spanish
English

Qatar
• Arabic
• English

Russia - Sakhalin
• Russian
• English

Saudi Arabia
Arabic
• English

Singapore

South Korea
• Korean
• English

Sweden
• Swedish
• English

Taiwan
• Chinese
English

Thailand
• Thai
• English

Turkey
• Turkish
• English

United Arab Emirates
• Arabic
• English

United Kingdom

United States