Pharmacy Surgical Mask Request.

Introduction, please read closely.

Pharamcies are eligible for limited access to Level 1 Surgical masks for the use of their staff when there is no available commercial supply.

In this instance, it is essential that the pharmacy staff use the masks provided in line with the advice for appropriate use of PPE, available at health.gov.au.

South Eastern Melbourne PHN can only supply to Pharmacies within our catchment. If needed please check the PHN Locator online.

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* 1. Organisation name

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

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* 3. Address Street and number. Line 2 (30 characters maximum)

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* 4. Address Suburb

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* 5. Address Postcode

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* 6. Requesting Name

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* 7. Phone number

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* 8. Email

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* 9. Position

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* 10. Please tick here to confirm you are have been unable to commercially secure masks for your team.

We have been UNABLE to commercially secure surgical masks for our staff.

We have been able to to commercially secure masks for our staff.