Drug and Health Information Online Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Drug and Health Information Online Request

If you would like to submit a question to the Drug Information Center, please fill out ALL of the information on the following form. Most questions are answered within 48 hours. If a more immediate response is required, please call 419-772-2307.

Sign in to Google to save your progress. Learn more

* Indicates required question

Are you a healthcare professional or a consumer? *

Healthcare Professional

Consumer

Next

Clear form

Never submit passwords through Google Forms.

This form was created inside of Ohio Northern University. Report Abuse