Pharmaceutical Manufacturer Complaint Form

Streamline Pharmaceutical Complaints with Paperform

When patients and healthcare providers need to report medication concerns to pharmaceutical manufacturers, having a professional, compliant complaint intake system is essential. This pharmaceutical manufacturer complaint form template helps drug companies efficiently capture adverse event reports, drug shortage impacts, and patient assistance program issues in one centralized location.

Comprehensive Medication Safety Reporting

This template is designed for pharmaceutical manufacturers who need to document medication side effects, adverse drug reactions, and product quality concerns in accordance with regulatory requirements. The structured format ensures you capture all critical information—patient demographics, medication details, adverse event timelines, and supporting medical documentation—while maintaining patient privacy and data security.

Beyond Basic Forms: Integrated Complaint Management

Paperform transforms your complaint intake process from a simple data collection tool into a complete case management solution. Use conditional logic to route different complaint types (adverse events, drug shortages, patient assistance issues) through appropriate workflows. Connect submissions directly to your pharmacovigilance database, CRM, or case management system through native integrations or webhooks.

With Stepper (stepper.io), you can automate the entire post-submission workflow—automatically assign cases to safety officers, trigger regulatory reporting timelines, send acknowledgment emails to complainants, and escalate serious adverse events to medical review teams without manual handoffs.

Built for Pharmaceutical Industry Standards

This template includes specialized fields for NDC numbers, lot/batch information, dosage strength, administration routes, and MedDRA coding preparation. The form's professional design and logical structure help ensure regulatory compliance while providing a patient-friendly experience for those reporting concerns.

Paperform's SOC 2 Type II compliance and enterprise-grade security make it suitable for handling sensitive health information in complaint reporting workflows. Set up dedicated forms for different product lines, therapeutic areas, or geographic markets, and use roles and permissions to control access across your pharmacovigilance and patient services teams.

Whether you're a specialty pharmaceutical manufacturer, generic drug producer, or biotech company, this template provides a professional foundation for managing medication complaints, patient program issues, and drug supply concerns—all within Paperform's flexible, no-code platform that keeps your team focused on patient safety rather than form administration.