Compliance

Importing/Exporting Medicines

To lodge a complaint relating to the import or export of therapeutic products

This form should ONLY be used to lodge a complaint relating to the import or export of therapeutic products.
Examples could include: an unauthorised person importing or exporting prescription medicines;

Your Contact Details
Your name:
Your email address:
Your telephone number (include area code):
Your mobile number:
Your fax number:
Details of Complaint
Date problem was encountered:
Name of product concerned:
Name of company/person, supplying the product:
Address of company/person:
Contact details of company/person (telephone, fax website, etc):
Details of complaint - please be as specific as possible:
Do you have a sample of the product, any documents or any other supporting material?	Yes No

MEDSAFE

New Zealand Medicines and Medical Devices Safety Authority

Compliance

Importing/Exporting Medicines

To lodge a complaint relating to the import or export of therapeutic products

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