Accredited Pharmacists in the Murray PHN
Collection and consent of accredited pharmacist information to be listed within the Murray PHN HealthPathways. This information will be used to provide contact details to doctors (and other interested parties) with patients residing in the Murray PHN catchment area to enable medication review referrals. 

Murray PHN is located in Victoria (mainly - some border towns included) and is split into four major areas. 
North West includes Mildura, Robinvale, Swan Hill, Donald, etc. 
Central Victoria includes Kerang, Echuca, Kyabram, Bendigo and Castlemaine etc.
Goulburn Valley includes Shepparton, Yarrawonga, Cobram, Seymour etc. 
North East includes Albury, Wodonga, Wangaratta, Benalla, Mansfield etc. 

Please see map below for more information on coverage or go to https://www.murrayphn.org.au/about/region/ to find out more. 

* Please respond by 31/02/2023 *
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What is your name? (This is the name that will be published on Murray HealthPathways - if it is different to your AHPRA name, please list AHPRA details as well) *
What is your contact number? Please leave blank if non-existent
What is your fax number? Please leave blank if non-existent
What is your email? Please leave blank if non-existent 
How do you prefer to receive medication review referrals? *
Which of the four catchments of Murray PHN do you provide services to?  *
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Do you cover the whole catchment selected in the previous question? If No, please list the specific areas you cater for in 'Other' *
Which suburb are you registered under in AHPRA? (This information will not be made publicly available) *
Do you speak a language other than English? If Yes, please list languages in 'Other'
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Do you have a speciality area of practice? eg. pain, diabetes, intellectual disability etc. 
Do you consent for the information provided in this form to be available on the Murray PHN HealthPathways? 

This information will be accessible to doctors, allied health and other users of HealthPathways

For more information on Murray HealthPathways please go to https://www.murrayphn.org.au/information-and-resources-for-health-professionals/pathways/

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