PPE should only be requested by General Practices who are unable to obtain PPE through normal commercial supplies. 



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* 1. Practice name

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* 2. Street address - Line 1 (30 characters maximum)

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* 3. Street address - Line 2 (only if required and 30 characters maximum)

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* 4. Suburb

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* 5. State

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* 6. Postcode

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* 7. Contact name

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* 8. Contact phone number

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* 9. Email address

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* 10. How many GPs work in your practice?

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* 11. How many staff in total work in your practice? Please include all clinical staff (GPs, nurses, allied health) and all non-clinical staff.

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* 12. What PPE is your practice requesting?
Please note that a request for disposable face shields can only be made once per practice.  Glove size and allocations will be dependent on supply.      

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* 13. Current PPE stock levels in your practice?

If we have questions regarding your request we will contact you, otherwise, please ask your reception staff to keep an eye out for your delivery. Please allow up to 5 business days for your request to be processed. For further enquiries please email: practicesupport@emphn.org.au.

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