Basic Preliminary Enquiry Form

Steve Flavel Pharmacy Locum Services

233 Central Road, Tinana QLD 4650

Ph: 0493231916

website: steveflavel.com.au

linkedin: https://au.linkedin.com/in/steveflavel

aboutme: https://about.me/steve.flavel
Basic Enquiry Form

Use this form if you don't want to fill in the full Pharmacy Locum form and you wish to check on my availability first or have a quick query to ask
Pharmacy Name
Please list the name of your pharmacy (use a different form if the inquiry is for distance vs. local locum work)
Your Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Your E-mail Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Locum Region

Other
Urgency
Locum Requirement

Other
Are you engaging my services

Other
Have you used my Locum Services Before?
What Type of Locum Assistance do you need

Other
What Dispensing Software do you Use

Other
What is your Average Rx Count
Will there be a dispensing Tech / another Pharmacist on Site?
Please be aware that I am currently used to Z-Software systems. I have some limited experience with Fred Dispense.

It will take me a little longer to dispense with the software you have provided.

For the benefit of continuity of customer service, you are advised to ensure that there is a sufficiently trained dispensary technician on site at all times to answer the various technical questions the inevidibly come up when dispensing with unfamiliar software
Leave Your Message
Should be Empty:

Basic Enquiry Form