Reporting An Adverse Event or Product Complaint

If you would like to report an adverse event or complaint on one of our products, please call (248) 548.0900 ext. 484, or complete the following form.

If you are human, leave this field blank.

Full Name *

Title *

Email *

Phone *

Product Name *

Lot Number *

Address *

Apt., Suite, Bldg. (optional) *

City *

State *

Postal/Zip Code *

Description of Complaint or Adverse Event *

Submit

By providing your email address, you agree to receive an email response to your report from Ferndale Healthcare®. Your email address will only be used to respond to your report. The information you submit will be governed by our Privacy Policy & Terms of Use.