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Pharmacist IP survey Cornwall

Wednesday 25th January 2023

Cornwall & IOS LPC are working closely with both NHSE and Kernow ICB to bring on some form of IP in community pharmacies in Cornwall. As such we are trying to gather a database of Pharmacists here in Cornwall in all sectors who are either currently a qualified IP or are on an IP course.

We are asking you to simply complete the below form, the information will be kept within the LPC as a database and will only be shared with the ICB if you agree you are happy for us to share this information.

IP Cornwall
Name
Name
First
Last
Would you be willing/able to work in another pharmacy/PCN as part of an IP pathfinder site? (for example, another branch of a pharmacy you own or work for)
Where do you practice? (select all that apply)
Address of practice location
Address of practice location
City
State/Province
Zip/Postal
Country
Cornwall & Isles of Scilly will keep your information secure on a database. Are you happy for us to share your information with Cornwall & Isles of Scilly ICB?
Start Over
Wednesday 25th January 2023

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