Enhanced Services
-
Care Homes
- Advice to care homes Service specification
- Claim Form
- Written agreement
- Initial visit checklist
- Repeat visit checklist
Call Out Service
- Call Out Service Specification - Provision of pharmaceutical care outside of usual business hours
Chlamydia
Screening
- Service Specification
- To order more chlamydia screening kits, please email: jenni.lages@dorset-pct.nhs.uk
Treatment
Emergency Contraception PGD Service
- Service Specification
- Patient Group Direction (PGD)
- Patient Group Direction Sign Up Sheet
- Consultation form
NHS Health Checks
- NHS Health Checks service specification
- Patient Assessment Form
- Patient Consent Form
- Claim Form for Health Checks
- Alere Order Form (for LDX consumables)
- Claim form for other consumables
- Claim form for one-off items
- Referral form for Healthy Choices weight management
Needle Exchange
Palliative Care
Rota Service
SmokeStop One-to-One Service
- SmokeStop Service Specification (Updated December 2011)
- Varenicline PGD
- Community Pharmacy Workbook for Varenicline PGD
- Varenicline PGD Checklist
- SmokeStop One-to-One Record
- SmokeStop Monitoring Form
- Fax to GP - Notification of Supply
- Fax to GP - Notification of Quit Status
- Fax to GP - Request to Prescribe
- SmokeStop Claim Form
SmokeStop Referral Service
Supervised Consumption
- Supervised Consumption Service Spec
- Shared Care Treatment Agreement
- Weight Management
