CSEMS – Medication Kit Incident Report

Use this form for incident reports related to the CSEMS Medication Kit Exchange Program’s Best Practices. Examples would include contaminated boxes, missing supplies (non-medication), broken kits, or improperly stocked medications/configurations in the kits. Please click the link below to submit your report. Please provide as much detail as possible, as this enables us to track incidents and trends.

CSEMS Medication Kit Incident Report