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Market Rules and Regulations Vendor Application Form Farmers Market location: ... 16 1226-ARMP-Coordinator-Form-En — clozapine: Clozapine Risk ...
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This form is a reporting form for ArmP (Adverse Reaction Monitoring Program) coordinators specifically for medication aaclozapine.
Healthcare professionals who are designated as ArmP coordinators for aaclozapine are required to file this form.
The form must be completed by providing detailed information on adverse reactions of patients taking aaclozapine, as outlined in the instructions provided with the form.
The purpose of this form is to monitor and report any adverse reactions or side effects associated with the medication aaclozapine in patients.
The form requires information such as patient demographics, details of the adverse reaction, severity, outcome, and any actions taken in response.
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