"Welcome to The National Medication Error Reporting Form"

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    ***All data that will be entered in this form are highly confidential and can't be used by any party for punitive purposes.**

    (You can complete this report without adding any identification of yourself or your work place. But it is highly preferred that you leave any contact information for feedback and follow up ) ***Please do not supply identifying information (e.g., patient name or date of birth, hospital name, or healthcare provider names).***

    You will go through the following sections to complete this report?

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    * ONLY questions marked by an asterisk (*) are mandatory and should be answered before going to the next page, others are optional.

    Click Continue to start this report >>

    If your hospital or sector have a specific reporting account click on this link https://docs.google.com/document/d/14GahREW8TCKKf9neXZ2Zl5jUUl4u9efhzp94pD80bRE/edit