Headache AESI form 11-0085-F-V-1


The Headache AESI form includes 4 pages of detailed questions to healthcare professionals to assess case causality.

Document Description

The Headache AESI Form asks the relevant questions over four pages for a medical assessment and potential relationship determination for the medicinal product – including:

  • Patient information
  • Medication
  • Signs and symptoms
  • Laboratory measures
  • Relevant findings
  • Patient history
  • Risk factors

The form comes ready to use and adapt for your company.