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AEAV
AEAV
AEAV
AEAV
AEAV

Report an incident

Report an incident of possible exposure to Ketamine

Use this form to report an incident of possible exposure to Ketamine

  • Must be an Australian mobile number, beginning with 04
  • Date Format: DD slash MM slash YYYY
  • :
  • Max 600 characters
  • The information you submit in this incident report will be passed onto HR, the AEAV and you will receive a copy.
  • This field is for validation purposes and should be left unchanged.