Introduction, please read closely.

General Practices in the SEMPHN region that ARE testing people for COVID-19 can request for the use of their staff when testing people for COVID-19 if they have sought and are unable to secure commercial supply.:
 - Gowns
 - Level 2 Surgical Masks
 -Goggles and
 - P2/N95 (for COVID and respiratory testing only)
 - Gloves (for vaccinating or COVID testing)- Blue Nitrile Powder Free in sizes small, medium and large.
 
It is essential that the gowns provided are used in line with the advice for appropriate use of PPE, available at health.gov.au. Unwell practitioner should not see patients.

Supply is 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.

Question Title

* 1. General Practice name

Question Title

* 2. Address Street and number. Line 1 (no more than 30 characters)

Question Title

* 3. Address Street and number. Line 2 (no more than 30 characters)

Question Title

* 4. Address Suburb

Question Title

* 5. Address Postcode

Question Title

* 7. Requesting Name

Question Title

* 8. Phone number

Question Title

* 9. Email

Question Title

* 10. Position

Question Title

* 11. Please tick all times your practice has testing for COVID-19.

  Morning Afternoon Night (after 5 pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Question Title

* 12. Do you test patients for COVID-19 who are not currently enrolled at your practice?

Question Title

* 13. How many COVID-19 tests overall did your practice do in the last 14 days. (2 weeks)

Question Title

* 14. What types of PPE are you requesting? (tick those you cannot secure  commercial supply for)

Question Title

* 15. You must confirm that your practice is currently testing patients for COVID-19, and despite your best efforts are been unable to commercially secure the PPE requested.

Thank you for your request. SEMPHN will seek to respond by email within 3 weekdays.
0 of 15 answered
 

T