Forms and resources
Here you will find resources to support service pilot delivery.
| Resource | When to use |
|---|---|
| Combined clinical and financial consent information sheet (PDF 734 kB) | Information for patients on clinical and financial consent requirements. |
| Evaluation consent information sheet (PDF 453 kB) | Information for patients on evaluation consent requirements. |
| Pilot non-participation survey – In store resource (PDF 617 kB) | Short survey that can be used as an in-store resource for patients who chose not to access pilot services. |
| Queensland Community Pharmacy Pilots registration information pack (PDF 1964 kB) | Information for pharmacy owners and pharmacists on the registration process for the Queensland Community Pharmacy Pilots. |
| Prescribing factsheet - Queensland Community Pharmacy Scope of Practice Pilot (PDF 885 kB) | This factsheet provides guidance on prescribing as part of the Queensland Community Pharmacy Scope of Practice Pilot. |
| Prescribing factsheet - Queensland Community Pharmacy Hormonal Contraception Pilot (PDF 1247 kB) | This factsheet provides guidance on prescribing as part of the Queensland Community Pharmacy Hormonal Contraception Pilot. |
| Queensland Community Pharmacy Scope of Practice Pilot handbook (PDF 7395 kB) | This handbook provides information regarding participation requirements, patient eligibility and management, and other operational requirements and processes for the Queensland Community Pharmacy Scope of Practice Pilot. |
| Queensland Community Pharmacy Hormonal Contraception Pilot handbook (PDF 5319 kB) | This handbook provides information regarding participation requirements, patient eligibility and management, and other operational requirements and processes for the Queensland Community Pharmacy Hormonal Contraception Pilot. |
| Queensland Community Pharmacy Pilot paper clinical record template (DOCX 66 kB) | This paper clinical record is for use in the event of an outage of the Pilot Clinical Information System. |
| A4 In-pharmacy promotional poster - printable (PDF 630 kB) | Promotional poster – A4 print version |
| A4 In-pharmacy promotional poster (PDF 600 kB) | Promotional poster – A4 digital version |
| A4 In-pharmacy information poster - printable (PDF 813 kB) | Information poster – A4 print version |
| A4 In-pharmacy information poster (PDF 820 kB) | Information poster – A4 digital version |
| A4 In-pharmacy information sheet - printable (PDF 1622 kB) | Two-sided information sheet – A4 print version |
| A4 In-pharmacy information sheet (PDF 1550 kB) | Two-sided information sheet – A4 digital version |
| 20 x 10 cm In-pharmacy flyer - printable (PDF 723 kB) | Two-sided small format flyer – 20 x 10 cm print version |
| 20 x 10 cm In-pharmacy flyer (PDF 665 kB) | Two-sided small format flyer – 20 x 10 cm digital version |
| 10 x 7 cm Appointment card (PDF 1534 kB) | Two-sided appointment card – 10 x 7 cm print version |