Get Wwhw Pharmacy First Consultation Form Pharmacist Name Consultation Date Patients Name Address Full

Filling out the WWHW Pharmacy First Consultation Form accurately is crucial for providing effective consultation and ensuring proper documentation. This guide will help you navigate each section of the form systematically and confidently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Enter the pharmacist's name in the designated field. Ensure that you provide your full name as it appears on your professional credentials.
3. Fill in the consultation date. This should be the date on which the consultation is taking place.
4. Input the patient's name clearly. Make sure to use the full legal name of the individual receiving the consultation.
5. Complete the address section by providing the patient's complete residence address, including street name and number.
6. Fill in the full postcode to ensure accurate location identification.
7. Indicate the patient's GP practice, which assists in consultation tracking.
8. Select the ethnicity of the patient from the provided options. Ensure to mark only one option that best represents the individual.
9. Provide the GPhC number, which is essential for authenticating the pharmacist’s credentials.
10. Fill out the consultation time accurately, following the format provided.
11. Input the patient's date of birth, ensuring the format is consistent with that of the form.
12. Indicate the gender of the patient by selecting the appropriate option provided.
13. Confirm patient eligibility by checking all the boxes that apply to the patient situation.
14. Indicate the consultation location, choosing from the options given.
15. Specify the indication for advice or treatment by checking all relevant boxes listed on the form.
16. Detail any additional indications for treatment if applicable, ensuring clarity.
17. Provide information and advice based on the consultation, marking all applicable boxes.
18. Indicate whether any medication was supplied by checking the appropriate boxes.
19. Select the type of referral required, if any, and provide details as needed.
20. Complete the outcome of the consultation by selecting all that apply.
21. Make sure the patient completes the patient declaration section, especially the exemption evidence if applicable.
22. Have the pharmacist complete their declaration at the end of the form, including a signature.
23. Double-check all entered information for accuracy before saving or submitting the form.
24. Upon completion, save the changes, download the form, print it, or share it as necessary.

Complete the WWHW Pharmacy First Consultation Form online today for a smooth consultation process.