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Pharmaceutical services branch forms
Pharmaceutical services branch forms
Document
Stimulant prescriber number (SPN) application
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Stimulant prescriber number (SPN) application
Stimulant prescriber number (SPN) application
36.53 kB
Application to obtain a stimulant prescriber number (SPN) form
Stimulant induced psychosis form
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Stimulant induced psychosis form
Stimulant induced psychosis form
95.38 kB
Notification of stimulant induced psychosis form
Application to prescribe a pharmacotherapy
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Application to prescribe a pharmacotherapy
Application to prescribe a pharmacotherapy
532.22 kB
Application for a doctor to prescribe a pharmacotherapy in the C-POP
C-POP notification of excess dose
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C-POP notification of excess dose
C-POP notification of excess dose
243.11 kB
Application for authorisation for pharmacotherapy treatment in excess of the C-POP policies & procedures for an opioid dependent person
Pharmacy monthly C-POP report
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Pharmacy monthly C-POP report
Pharmacy monthly C-POP report
578.32 kB
Pharmacy monthly dose record form for C-POP
Notification of termination of C-POP authorisation
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Notification of termination of C-POP authorisation
Notification of termination of C-POP authorisation
210.85 kB
Notification of termination of pharmacotherapy treatment for an opioid dependent person
Pharmacy C-POP application
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Pharmacy C-POP application
Pharmacy C-POP application
73.23 kB
Application for a pharmacy to participate in the Community Program for Opioid Pharmacotherapy (C-POP)
Application to become a C-POP prescriber
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Application to become a C-POP prescriber
Application to become a C-POP prescriber
78.37 kB
Application to be authorised as a Community Program for Opioid Pharmacotherapy (C-POP) prescriber
Application to prescribe a pharmacotherapy
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Application to prescribe a pharmacotherapy
Application to prescribe a pharmacotherapy
532.22 kB
Application for a doctor to prescribe a pharmacotherapy in the C-POP
Pharmacy C-POP dose recording sheet
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Pharmacy C-POP dose recording sheet
Pharmacy C-POP dose recording sheet
268.46 kB
Pharmacy C-POP dose recording sheet
C-POP notification of termination
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C-POP notification of termination
C-POP notification of termination
210.85 kB
Notification of termination of pharmacotherapy treatment for an opioid dependent person
Pharmacy monthly C-POP report
Download
Pharmacy monthly C-POP report
Pharmacy monthly C-POP report
578.32 kB
Pharmacy monthly dose record form for C-POP
Application to prescribe a Schedule 8 medicine
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Application to prescribe a Schedule 8 medicine
Application to prescribe a Schedule 8 medicine
633.7 kB
Application to prescribe a Schedule 8 medicine or drug of addiction to treat a person with a drug of addiction of addiction for a period greater than 60 days or to prescribe flunitrazepam
Managing chronic non-malignant pain with opioids - GP resource order form
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Managing chronic non-malignant pain with opioids - GP resource order form
Managing chronic non-malignant pain with opioids - GP resource order form
188 kB
Managing chronic non-malignant pain with Opioids: a Resource Kit for GPs resource order form
Notification of addiction to drugs
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Notification of addiction to drugs
Notification of addiction to drugs
46.14 kB
Prescriber notification form for patients with addiction to drugs
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