Initial Medication Management Review Application

Application to be accredited by SHPA to perform medication management reviews

Pharmacists who wish to apply to be accredited by SHPA to perform medication management reviews should read the Accreditation Process for Medication Management Reviews FACT SHEET and then complete and submit this form with all required documentation

Your details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State Post code Country

Phone

Email(Required)

Qualifications(Required)

Are you an SHPA member?(Required)

Yes

Your credential

Untitled(Required)

Certification as a Board of Pharmacy Specialties (BPS) Board Certified Geriatric Pharmacist (BCGP)

Certification as a BPS Board Certified Pharmacotherapy Specialist® (BCPS)

Documents required

Please upload the following documents
1. A copy of your certificate as evidence of your credential
2. A copy of your current AHPRA registration certificate
3. Evidence of at least TWO years of practice as a pharmacist (not including internship) in the form of a letter from your employer or a statutory declaration
4. Your CPD learning plan and record for the previous CPD year showing evidence of completion of at least 60 CPD credits, of which at least 50 credits are for Group 2 or 3 CPD

File

Drop files here or

Max. file size: 100 MB.

Declaration

Payment

The fees for initial accreditation are
* SHPA members $280 (incl. GST)
* Non-members $390 (incl. GST)

Privacy

SHPA will handle your information in line with its privacy policy. SHPA will also provide your details to the administrator of MMR programs to facilitate payments.