This course is based on the recommended standard for the dispensing course for prescribers in terms of Act 101 of 1965 as amended, which was developed by the South African Pharmacy Council, in consultation with the other statutory health councils. Licensing with the relevant authority as a ‘Dispensing Health Care Professional’ can only take place once the certificate is awarded. The Dispensing Course is available through the Foundation for Professional Development (FPD) in association with the Health Science Academy. Participants will be assessed through:  Portfolio of evidence  Written questionnaire  Dispensing Practical Exam Participants must complete the course and all forms of assessments within 6 months. The Dispensing course leads to a certificate at a National Qualifications Framework (NQF) level 6. To obtain the certificate a minimum of 30 credits must be obtained. Each credit represents about 10 notional learning hours. The course is taught through distance education, training workshops are provided on request. ENTRANCE REQUIREMENTS All Medical Practitioners. D STUDY MATERIAL To enable health professionals to dispense and ensure the quality use of medicines prescribed to the patient. At the end of the course the participants will be able to: • Identify and apply ethical, legal and therapeutic considerations in all facets of dispensing. • Evaluate prescription and assess patient profile. • Dispense the prescription. • Manage the procurement and storage of medicines. • Advise patients to ensure quality use of medicines and improve health status. Successful participants will receive a Course Certificate from the Health Science Academy should they successfully complete the assessment process. This certificate must then be submitted in terms of regulation 18 of Act 101 of 1965, as amended. The course is accredited through FPD for 30 CPD points. R 2 622 (Inclusive of all VAT and taxes where applicable) the course fee includes all study material, assessment and certification. Study material will be posted as soon as full payment has been received. MELANY MANOHARUM or NICOLE THERON Tel: 012 816 9100 / 012 816 9101 Fax: 086 558 5433 Email: [email protected] Address: PO Box 75324 Lynnwood Ridge 0040 Website: www.foundation.co.za Participants will receive a comprehensive ‘resource guide’ covering all the study units and annexure containing ‘additional’ information which may be required. You will also receive an ‘assessment documentation guide’, consisting of learning activities, multiple choice and short questions that need to be completed. Foundation for Professional Development (Pty) Ltd, Registration number 2000/002641/07 A member of the SAMA Group Certain student information is required to enable FPD to report on student achievements to the authorities as required. We appreciate your assistance in ensuring that our records are complete Title Initials First Name Preferred Name Male / Female Surname Professional Council nr (eg. HPCSA) Qualification(s) ID Number Current Occupation Name of facility you work in Contact Numbers Work Code Number Home Code Number Fax Code Number Cell e-mail How did you hear about the course: FPD Website Facebook E-mail SMS Twitter SAMJ SAMA Insider Word of mouth FPD Workshop Postal Address Area Town Province Country Area Town Code Physical Address Province Professional Qualification (Select one) In which ONE functional area do you spend most of your working day? Workplace Demographics Code Country General Practitioner Medical Specialist Auxiliary Nurse Other ___________________________________________________________ Professional Nurse Sales/Marketing Research Management Education Clinical Admin/Support NGO FBO (Faith based) Private sector Public sector Select the ONE sector that best describes your main workplace Select your main area of work Urban area Rural area District: Level of care Race Enrolled Nurse PHC Black CHC Hospital Asian Facebook Username : Peri-Urban area Province: Other: Coloured White Twitter Username : PAYMENT DETAIL Payment Method: Cheque Credit Card Electronic Transfer Bank Deposit Credit card number Last 3 digits at back of card Expiry Date Master / Visa Card If payment is done by credit card budget account, mark period in months 6 months 12 months 18 months Surname and initials Card holder’s signature FPD BANKING DETAILS: Nedbank Branch - Commercial, Pretoria Account number: 1497 046 238 · Branch code: 14 97 45 PLEASE REMEMBER TO INDICATE THE PAYMENT REFERENCE AS BELOW AND FAX US THE DEPOSIT SLIP! EMAIL, POST OR FAX YOUR REGISTRATION FORM TOGETHER WITH YOUR PAYMENT TO: Melany Manoharum · Email:[email protected] Tel: 012 816 9000 · Fax: 086 558 5433· Postal address: PO Box 75324, Lynnwood Ridge, 0040 Cheques must be made out to the Foundation for Professional Development PAYMENT OF FEES: Students are responsible for paying the full course fee before commencement thereof, or as per available payment options on a per course basis. CANCELLATIONS: FPD reserves the right to cancel or postpone a course. Applicants will be informed and all fees will be refunded. Cancellations are accepted, IN WRITING and WITHOUT PENALTY, up to 14 days prior to date of commencement. Students cancelling less than 14 DAYS prior to date of commencement of the course will be liable for payment of 50% of the fees. NON-ARRIVALS will be liable for payment of the full fees. SUBSTITUTES will be accepted. PAYMENT REFERENCE SURNAME / 6417 SUBSCRIPTION As registered student you will be included in our alumni mailing list for updates and/or information on new courses. Should you wish to subscribe, please sign. Signature Foundation for Professional Development (Pty) Ltd, Registration number 2000/002641/07 Date: A member of the SAMA Group