Consumer Voluntary Reporting Form 

Form Letter to Doctors / Nurse Practitioners and Authorities
(Edit to report your experiences and concerns)

We need to force a chain of formal written documentation. Records which will be saved and not lost, misunderstood, forgotten or ignored.
 

Make sure to use formal methods of communication when creating important reports and statements, especially when responding to government funded services and reports.
 

Step 4 of the 10 Step method is to order copies of your medical records. In some countries there may be a charge. Some doctor’s offices / surgeries may be obstructive. Please research your legal rights.

HOW TO WRITE A REPORT:
Select copy paste text and source URL links, and include in your reports.
Keep Copies and Mail by Certified Proof of Delivery to create legally binding documentation. 
 

Keep copies of your documentation, correctly dated, and use certified proof of posting and delivery to create legally binding documentation. This is regardless of any plans you may have but especially if you plan to sue, or report to any medical authorities. 

Use the evidence provided 
 

We suggest you use this format to give specialists all the appropriate information about you.
 

List the names and addresses of officials you wish to contact now and may wish to contact in the future:

- your doctor, nurse practitioner, local health authority, health board, FDA, NHS etc.

- List your own details: name, date of birth, home address

- Find and list the best sources of reference and evidence:

- the link to the drug's warnings leaflets
- as many links from drugs.com that you think are relevant
 

- Find and list the reasons you refuse to try or take any further psych drugs by category:

- antidepressants
- benzodiazepines
- anticonvulsants or any other drugs

Be as detailed as you possibly can.
 

Example: "Risks of all Rx psych drugs far outweigh the small, short-lasting benefits as claimed by the drug's leaflets / legal disclaimers and they require a slow taper for months and years."
 

- List the side effects and interactions you've experienced, (if any), as listed in your sources. Word-process everything and use Copy and Paste everything, so you can edit and then add to the information until you are completely happy with it. You will then have the same document to send to everyone.

-Keep copies of everything.
 

Ask for help if you need it. Drugs can give us brain fog. They can make us simply unable to act or function.
It's not you, you are not crazy. It's probably the adverse affects of Rx drugs.
Document everything. So make it official - start writing formally . Don’t just rely on telling

doctors or handing them a letter or a list.
 

Check that you have included absolutely everything mentioned in the detailed instructions. It's important to write to create documentation, regardless of any plans to sue. This is good professional practice - to use and require formal written methods of communication. You will have better results.
 

Drug manufacturers and government warning leaflets tell us to "REPORT ALL SIDE EFFECTS TO YOUR DOCTOR AND FDA". It is much more successful to detail everything in a digital document than just talk about it. Conversations are not recorded but letters and forms almost certainly have to be copied and filed.