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Newtons Pharmacy Information Product Risk Assessment Form

Product Risk Assessment Form

Product Risk Assessment Form - Performing Our Duty of Care 

Many medicines and natural supplements are now regulated and restricted to professional use only, available only after a professional assessment of the risks and benefits of the product on an individual basis.

Newtons' pharmacy practitioners are obliged, by the requirement for the exercise of professional duty of care, to perform such assessment on individual basis for all restricted products. 

Newtons  Pharmacy respects your privacy and is bound by the National Privacy Principles set out in the Privacy Act 1988 of the Commonwealth of Australia. This form will not be entered into a digital database or shared with a third party.

Please advise us if you are unable to submit this form or have concerns or problems completing this form as we may be able to offer an alternative solution. 

Thank you for your cooperation.

 

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Please put down your first and last name.
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Please name the product you are interested in purchasing.
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Please indicate what will this product be used for.
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Please indicate if allergic to any medicines, food groups or plants, such as daisies or tomatoes.
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Please list your current health conditions, if any.
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To help us guard you against drug interactions, please list your current prescription and non-prescription medicines, particularly blood thinning drugs like warfarin.
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Your answer helps to assess risk to both mother and child.
Product Risk Assessment Form - Newton's Compounding Pharmacy
 
 
Product Risk Assessment Form - Newton's Compounding Pharmacy