This is a legal form that was released by the Oklahoma Department of Corrections - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 140130K?
A: Form 140130K is the Suspected Adverse Drug Reaction (ADR) Reporting Form used in Oklahoma.
Q: What is an Adverse Drug Reaction (ADR)?
A: An Adverse Drug Reaction (ADR) is a harmful or unwanted reaction to a medication.
Q: Who should use Form 140130K?
A: Form 140130K should be used by individuals who suspect they have experienced an adverse drug reaction.
Q: What is the purpose of Form 140130K?
A: The purpose of Form 140130K is to report suspected adverse drug reactions to the appropriate authorities in Oklahoma.
Q: Do I need to fill out Form 140130K for every adverse drug reaction?
A: Yes, Form 140130K should be filled out for each suspected adverse drug reaction.
Q: What information is required on Form 140130K?
A: Form 140130K requires information such as the patient's demographic details, the suspected medication, details of the adverse reaction, and the reporter's contact information.
Q: How long do I have to submit Form 140130K after experiencing an adverse drug reaction?
A: There is no specific timeframe mentioned for submitting Form 140130K, but it is recommended to report the reaction as soon as possible.
Q: Who should I contact if I have questions about Form 140130K?
A: For any questions about Form 140130K, you can contact the Oklahoma State Department of Health or consult a healthcare professional.
Form Details:
Download a printable version of DOC Form 140130K by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.