DOC Form 140130K Suspected Adverse Drug Reaction (Adr) Reporting Form - Oklahoma

DOC Form 140130K Suspected Adverse Drug Reaction (Adr) Reporting Form - Oklahoma

What Is DOC Form 140130K?

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.

FAQ

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.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Oklahoma Department of Corrections;
  • 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 DOC Form 140130K by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Corrections.

Download DOC Form 140130K Suspected Adverse Drug Reaction (Adr) Reporting Form - Oklahoma

4.6 of 5 (8 votes)
  • DOC Form 140130K Suspected Adverse Drug Reaction (Adr) Reporting Form - Oklahoma, Page 1
ADVERTISEMENT