Proposed amendments to the designated registered nurse prescriber specified prescription medicines list - Introduction - New Zealand Ministry of Health

1. What is your name?

Name

2. What is your email address?

Email address

3. What is your organisation?

Organisation

4. Are you submitting as an individual or on behalf of an organisation?

Individual On behalf of an organisation

5. What is your job title?

Job title

6. Which of these best describes you?

Registered nurse Registered nurse prescriber Nurse practitioner Pharmacist Pharmacist prescriber Medical practitioner Educator Consumer Other (please specify)

If you selected other, please specify

7. Do you agree with the proposed medicines on the list?

Yes No

If you select no, we’ll ask more specific questions on the next page.