Lodging a Complaint

Lodge a Complaint
When lodging a complaint against a pharmacist or pharmacy with the pharmacy council we ask you to complete the form below to ensure the expeditious handling of complaints which are directed to the office of the registrar.

(With a view to the expeditious handling of complaints directed to the registrar please submit the following complaint to the Office of the Registrar)

Nature of alleged contravention:
Date and time alleged contravention:
Name and location of pharmacy being complained against:
Name of pharmacist / pharmacist intern/ pharmacist 's assistant/ pharmacist student (if known to the complainant) :
Nature of complaint (kindly include all relevant information or supply separate written documentation):

Supporting documents or evidence attached
Copy of the doctor's prescription(s)
Copy of the invoice(s) furnished by the pharmacy to the complainant(s)
Copy of a statement(s) from the medical aid(s)
Container(s) of medicine(s) [if dispensing error]
Copy of the label on the medicine(s) container(s)
Copy of the advertisement

If other, specify :

 

Contact details of the complainant
   
Name: *
Postal address
 
Postal code
Physical address
 
Postal code
Telephone number(home)
Telephone number(work) *
Telephone number(Cell) *
Facsimile
E-mail address *

 
 
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