This form should be submitted by pharmacists who:
- have successfully completed approved Queensland-based training for programs such as the Queensland Community Pharmacy Scope of Practice Pilot, and
- intend to provide expanded scope community pharmacy services in NSW.
The form must be resubmitted with updates if your details change (such as place of practice).
Note: After submitting the form, please email a copy of your general registration with the Pharmacy Board of Australia and the certificates of pharmacists training course(s) you have completed to
MOH-communitypharmacyscope@health.nsw.gov.au.
Use the subject line: "Intention to provide expanded community pharmacy services in NSW - Document copies".
