Forms for pharmacists
Application for approval as a pharmacotherapy supplier
Pharmacists may use the following form to apply for approval to become a pharmacotherapy supplier following completion of the required training program.
Self-assessment for compliance with key requirements.
Dispensing support tax invoice template
If a client is eligible for pharmacotherapy dispensing support, the Department of Health issues a letter to the dosing pharmacy confirming details of dispensing support. If a client who is eligible for dispensing support has transferred to your pharmacy, but you have not received the letter from the department, the prescriber may need to notify the department in writing of the change of pharmacy details and include the date of commencement at your pharmacy (by email: firstname.lastname@example.org or fax: 1300 360 830).
All links provided are direct links to the Victorian Department of Health original documents unless specified. A list of all Department pharmacotherapy forms can be found here. health.vic.gov.au/dpcs/pharm.htm