To help improve access in our communities to ENFit feeding tube supplies please complete this survey if your pharmacy will be providing these supplies. For information on the ENFit system and ordering and billing information please watch the PAS webinar ENFit® for Pharmacists located on our website. By completing this survey, you consent to PAS distributing your pharmacy information to members of the Saskatchewan Health Authority and other health care professionals for the purposes of connecting patients to care. PAS will also use this information to help direct any public inquiries to improve access. To be able to participate pharmacies are not expected to stock all supplies. Pharmacies are expected to have the knowledge to be able to acquire necessary supplies in a timely manner to continue care.  As these are specialty products ordering times should be considered as part of discharge planning and transfer of care.

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* 1. Pharmacy Name:

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* 2. Pharmacy Location Address:

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* 3. Pharmacy Phone Number:

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* 4. Pharmacy Fax Number:

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* 5. Pharmacy Store Hours:

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* 6. Does your pharmacy STOCK ENFit supplies for assisting with medication and feed administration? (ENFit syringe and bottle adaptor etc)

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* 7. If you answered NO, Is your pharmacy set up to ORDER ENFit supplies when requested for assisting with medication and feed administration? (ENFit syringe and bottle adaptor etc)

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* 8. Does your pharmacy STOCK ENFit feeding tube and adaptor supplies? 

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* 9. If you answered NO, Is your pharmacy set up to ORDER ENFit feeding tube and adaptor supplies when requested?

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