Proposed amendments to the specified prescription medicines list for designated registered nurse prescribers in primary health and specialty teams

1. Your name

2. What is your email address?

If you enter your email address then you will automatically receive an acknowledgement email when you submit your response.

Email

3. Your job title

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

Individual On behalf of an organisation

5. What is the name of your organisation?

6. Which of these best describes you?

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

Other

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

Yes No (if no, please explain below)

What medicines don't you agree with on the list?

8. Do you have any other comments on the proposed indication, restrictions, specific route, form, or other guidance?

Questions