Request for Nutritional Supplementation Form 2014

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Preferred pharmacy. The procedure • Assessment by a Dietitian who determines the type and quantity of nutritional supplement required by the patient. • The Dietitian sends a recommendation by fax to both the Patient’s Prescribing Doctor and VAPAC (Veterans Affairs Pharmaceutical Advisory Centre in the QLD Office, Brisbane) Fax (07) 3223 8651. The recommendation is to include the product required, including pack size, daily usage, diagnosis of the problem requiring nutritional supplements and...

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