Consumer-Level Recall Action Form
Use this form to document the actions you take after discovering your pharmacy has dispensed products subject to a consumer-level recall.
For more information on handling a recall, check out this post.
Usage Rights and Disclaimer
Each download allows for the copy and use of the form for one pharmacy permit.
NOTE: This form is intended as an aid only and Pharmacy Compliance Specialists, LLC, shall not be held liable for damages resulting from the use or misuse of this product.