Authorised Prescriber Form

For New Application.

Please ensure you upload with your application:

• 4 TGA SAS B Approval Letters (At least 2 schedule 4 and 2 schedule 8, one of which should be for Dried Herb (if you wish to include it in your application) OR previous HREC approval for the required schedules and dosage forms)
• Evidence of additional professional education (if available) 
• Patient Informed Consent Form +
• Evidence of other HREC AP approval *

To assist with our processing of your application:

1. Please submit distinct documents as separate files, rather than merged into one file.
2. Please name each file clearly, using the following formatting: [Applicant_surname, Applicant_first name – title_of_document]

* if applicable + template available on the RACGP website (you may use your own form, but it MUST state emphatically that driving under the influence of THC is ILLEGAL and there is NO medical defence at law)

Patient Consent Form

TGA Documents

HREC Documents

Other Evidence