Introduction, please read closely.

General Practices that are currently immunising the public with the COVID-19 vaccine can request consumables (25g needles and 1ml syringes) using this survey if they have sought and are unable to secure commercial supply:
 
The consumables supplied via SEMPHN are ONLY to be used for the COVID-19 vaccine rollout.

Supply is very strictly limited, so South Eastern Melbourne PHN will allocate accordingly and cannot guarantee stock will be available.
 
South Eastern Melbourne PHN can only supply to practices within our catchment. If needed please check the PHN Locator online.

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* 1. General Practice name

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* 2. Address Street and number. Line 1 (max 30 characters)

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* 3. Address Street and number. line 2 (max 30 characters)

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* 4. Address Suburb

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* 5. Address Postcode

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* 7. Requesting Name

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* 8. Phone number

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* 9. Email

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* 10. Position

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* 11. Which consumable(s) are you unable to secure and need for COVID-19 vaccinations?

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* 12. You must confirm that your practice  has, despite your best efforts, been unable to commercially secure the consumables requested.

Thank you for your request. SEMPHN will seek to respond by email within 3 weekdays.
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