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Report your Case PDF Print E-mail

If you have suffered ciguatera poisoning, the information you provide on this form will help us understand the toxin more, provide valuable geographical information, and enable us to better educate the public.

If you have not already done so, please visit our forums and share your experiences with others.


Name
Illness Date
Location
Do you want to be contacted?
If yes, contact email address
Age
Sex
Species of fish eaten
Approximate Size
What part did you eat?
Time before symptoms appeared?
Gastrointestinal?
Neurological?
Cardiovascular?
How long were you sick?
Severity of illness
Did you seek medical attention?
Medical action taken
Are you a regular fish eater?
Will you eat fish again?
Any additional Comments?

 

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