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Registration of Interest - Pharmacy - Administration of COVID-19 vaccinations to people who are housebound-(copy)

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5.  

Is your pharmacy an Approved Service Provider under the COVID-19 Vaccination in Community Pharmacy (CVCP) Program *

* required
6.  

Are you approved by the PPA to administer Off-Site Vaccinations? *

* required
7.  

Please confirm that the Pharmacist who will administer vaccines will have undertaken the  mandatory training  required to deliver COVID-19 vaccination services. *

* required
Mandatory Training link: https://covid19vaccinationtraining.org.au/login/index.php

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9.  

By submitting this Registration of Interest, your Pharmacy is agreeing to arrange and administer COVID-19 vaccinations in the Brisbane North region to people requiring in-home visits at dates and times to be agreed between the patient (referred by Brisbane North PHN) and your pharmacy. *

* required
10.  

The appointed Pharmacies agree to invoice Brisbane North PHN monthly detailing the patients’ first name, suburb, distance from Pharmacy to patient’s home (up to 50km; over 50km); date of vaccination.  *

* required

Your ROI is now submitted.  

Successful applicants will be notified as soon as possible.  

Please contact agedcareprojects@brisbanenorthphn.org.au if you have any questions.