PDF
Word
Enclosure 1 Adverse Event Initial Report - New Hampshire
What Is Enclosure 1?
This is a legal form that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of the Adverse Event Initial Report?
A: The purpose of the Adverse Event Initial Report is to document and report any adverse events.
Q: What is considered an adverse event?
A: An adverse event is any unexpected or negative event that occurs during or after the use of a product or service.
Q: How should the Adverse Event Initial Report be filled out?
A: The Adverse Event Initial Report should be filled out with all relevant information about the event, including date, time, location, details of the event, and any related factors.
Q: Who should fill out the Adverse Event Initial Report?
A: Anyone who witnessed or was involved in the adverse event should fill out the Adverse Event Initial Report.
Form Details:
- Released on August 10, 2016;
- The latest edition provided by the New Hampshire Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Enclosure 1 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
