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Application Forms

​Controlled Substances

Unlicenced Medicinal Products
Form I - Request for the use of an unlicensed medicinal product on a named patient basis, for a specific patient (applies to both the Government Health Services and the private sector)
Form II - Request for the use of an unlicensed medicinal product by a Hospital Department within the Government Health Services
Form III​ ​- Request for the use of an unlicensed medicinal product by a Hospital / Clinic in the private practice