Health Services Permit
On this page: Application processing | Application for a permit | Application to nominate a person | Fees | Poisons Control Plans | Modular Application for a Health Services Permit | Guidance documents | Completing the forms
This page contains all relevant forms and guides required to apply for a Health Services Permit, including a permit to generate standing orders.
To make an application you are required to:
- complete an application form for the permit.
- complete an application to nominate a responsible person.
- complete and maintain a Poisons Control Plan; where relevant, complete the Poison Control Plan module to Generate Standing Orders.
- pay the required fee.
Application processing time
After all completed documents and the relevant application fee are received, in most circumstances, a Department officer will contact the applicant to arrange an appointment to visit the premises to which the application relates, to ensure that there is capability to comply with legislative requirements.
The officer may identify deficiencies during the visit. If so, the application cannot proceed any further until documented evidence has been received by the Department that the deficiencies have been rectified.
From that time, it may take up to an additional six weeks for the application process to be completed.
Processing time may be reduced substantially if there are no document errors and any identified deficiencies are rectified promptly.
These forms need to be printed and forwarded to:
Chief Officer, Drugs and Poisons Regulation
Department of Health
G.P.O. Box 4541
Melbourne Victoria 3001
Application for a permit
Licence or Permit Application Form
Application to nominate a person
Responsible Person Application Form
The application includes:
- How to complete an application to nominate a person
- Application to nominate a person to be responsible for maintenance of the poisons control plan
- Form to be completed by person to be nominated.
Fees
See the Table of Fees 1 July 2011 for information about when fees apply and how much the fees are.
Poisons Control Plans
A satisfactory Poisons Control Plan (PCP) must be developed and maintained by a permit holder
and by an applicant for a permit. The following documents outline developing and maintaining a PCP for the provision of health services:
Poisons Control Plan HSP Part 1
Poison Control Plan HSP Part 2
Poisons Control Plan HSP Part 3
Poisons Control Plan HSP Part 4
Modular Application for a Health Services Permit to Generate Standing Orders
This module contains guidance on the process for
- Approval to Generate Standing Orders
- the Generic Format for Standing Orders, and
- a copy of the Health Services Permit Condition for Generating Standing Orders.
This applies for a new application or to apply to amend an existing Health Services Permit.
Guidance on the Process for Approval to Generate Standing Orders (18kb, pdf)
Generic Format for Standing Orders (48kb, MS Word)
Condition included on permit to provide for use of standing orders in hospitals (21k, pdf)
To make an application you are required to:
-
complete an application form (amendment)
see Application for a permit above. - complete an application to nominate a responsible person (amendment only; if needed)
see Application to nominate a person above - complete Part 5 of the Poisons Control Plan
Poisons Control Plan HSP Part 5
PCP Part 5 - Sample Answers - pay the required fee.
Guidance documents
Storage of Schedule 4 poisons – anaesthetic gases
Completing the forms
These forms need to be printed and forwarded to:
Chief Officer, Drugs and Poisons Regulation
Department of Health
G.P.O. Box 4541
Melbourne VIC 3001

