Any personal information disclosed within this form is strictly confidential and safeguarded via data protection acts 1998 and 2000, it is important to fill out the fields accurately and honestly.
The contents of the form are processed by Vape Dinner Lady and manually submitted to the Medicines and Health Care products Regulatory Agency (MHRA). Health and safety of consumers is paramount. The user submission form below allows vital information of potential side effects and products to be declared and monitored by the MHRA. If you wish the information submitted in the form to be passed on to your healthcare professional, this correspondence will be fulfilled by the MHRA and not Vape Dinner Lady.
Further information about the MHRA or the ‘Yellow Card Scheme’ form can be accessed by clicking this link