Report Side Effects Form (for Professionals)

Dear healthcare professional;

We realize that filling this form requires time to complete, but reporting adverse drug reactions are indispensable for safe use of medication. be sure reporter's and patient's identity are held in strict confidence by the company and protected to the fullest extent of the law, information provided by the reporter will be strictly protected and will not be used in any way against him  her.

This form can be used byPhysician, Pharmacist, Dentist, Nurses and Other healthcare providers.

Please fill form carefully:


Patient details

Social Responsibility

Beit Jala Pharmaceutical Company : Abides by the rules prevailing in Palestine concerning the recruiting of workforce in terms of wages, increments, holidays and other special benefits which encompass granting a month bonus ... read more