Pharmacy Application Form

Information for applicants:

  1. These forms apply for:
    ▪ Establishing a new pharmacy business
    ▪ Relocating an existing pharmacy business to new premises
    ▪ Purchasing an existing pharmacy business
    ▪ Entering or leaving a pharmacy business/change of proprietary interest
    ▪ Significant Alterations to an existing pharmacy business
  2. Please complete applications carefully. Incorrect or incomplete applications may be returned.
  3. All decisions relating to applications will be transmitted in writing and only to the applicants named on the forms.
  4. Where there is a change to any proprietary interest such as a change to shareholdings in a pharmacist-controlled company or beneficiaries in an eligible trust, documents reflecting this change must be provided to the Board.
  5. Please ensure this application, and relevant documentation is submitted to the Board at least 20 business days prior to the Board meeting at which the application is to be considered.
  6. Fees: please note that separate fees apply for each type of application. For example, if you are applying for a Relocation and a Change of Ownership, the fee is $2,300 ($1,150 x 2).
  7. All applications to be considered by the Board MUST be lodged electronically, via email: Applications_Admin@pharmacyboardwa.com.au.

Download