Dear Pharmacist/Technician

The Canterbury Community Pharmacy Group (CCPG) in collaboration with The Canterbury Primary Response Group (CPRG) is seeking to develop a pool of locum pharmacists and pharmacy technicians who can help in the current pandemic.

The purpose of creating this list is to enable CCPG to work with CPRG to manage and allocate locum resources if in the future pharmacies are unable to remain open with the staff capacity they have.

Note. Dispensing pharmacists must have a current APC.  However retired pharmacists or others who do not currently have an APC may also be able to assist in a supporting role. 

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* 1. Full Name

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* 2. Contact Address

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* 3. Email Address (personal not general work email address)

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* 4. Contact Telephone Number

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* 5. Your role?

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* 6. Do you have a current APC?

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* 7. What days would you be available to be an emergency locum?

  Morning Afternoon All day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 8. In what situation are you comfortable working?

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* 9. Are you willing to be deployed to a rural site, if required?

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* 10. Is there any other information you would like to tell us.

T