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Reversible Posterior Leukoencephalopathy Syndrome AESI Form 11-0087-F-V-1

$120.00

The Reversible Posterior Leukoencephalopathy Syndrome AESI form includes 1 page of detailed questions to healthcare professionals to assess case causality.

Document Description

The Reversible Posterior Leukoencephalopathy Syndrome AESI Form asks the relevant questions over one page for medical assessment and potential relationship to 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.