Report An Issue

Complaint Form

Please use this form to provide your feedback and a member of the Phytoca Customer Care team will be in touch within 24-48 hours.

I am a(Required)

Name(Required)

Phone number(Required)

Email(Required)

Is this complaint about a product?(Required)

Type of product(Required)

Select the product this complaint is about(Required)

Is this complaint regarding a side effect/adverse reaction to a Phytoca product?(Required)

If you are a patient and you are feeling unwell, seek immediate medical advice, present to your nearest emergency department or call 000.

Has the patient sought medical assistance regarding this event?(Required)

Ensure the patient seeks medical assistance immediately if experiencing any unwanted side effects.

What is the name of the practitioner the patient saw in relation to the side effect or adverse event?(Required)

Patient initials(Required)

Patient date of birth(Required)

What 510-thread battery device is being used with the Phytoca cartridge?(Required)

Please provide the brand, make and model of battery device used.

Is the battery device button activated or inhalation activated?(Required)

Button-Activated

Inhalation-Activated

What temperature setting is the vaporiser set to?(Required)

What is the batch number of the product?(Required)

What is the name of the pharmacy who dispensed this product?(Required)

Which distributor was the product ordered from?(Required)

Order Number(Required)

Insert 4-digit order number (displayed on invoice or order placed via the Phytoca online portal)

When was the product dispensed?(Required)

Please describe in detail what this complaint is about.(Required)

Please upload a photo of the issue.

Max. file size: 128 MB.

Please send additional photos to info@phytoca.com.au. If no photo evidence provided, our Quality Assurance team may request this later to assist in their investigation.

What is the outcome you are looking for in regards to this complaint?

Please select submit and we will be in contact with you or your health practitioners in relation to your complaint

Report An Issue

Complaint Form

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