Drug and Health Information Online Request
If you would like to submit a question to the Drug Information Center, please fill out ALL of the information on the following form. Most questions are answered within 48 hours. If a more immediate response is required, please call 419-772-2307.
Sign in to Google to save your progress. Learn more
Are you a healthcare professional or a consumer? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ohio Northern University.

Does this form look suspicious? Report

Google Forms