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Online Form - Application for Skin Penetration Procedure Establishment

Regulation 6 of the Health (Skin Penetration Procedure) Regulations 1998

Premises Details

Hours of Operation

Type of premises

Proprietor Details

Select all procedures to be carried out on premises

Food and Drink on Premises

Please indicate if food / drink will be prepared on the premises *



I/We declare that all details in this form are true and correct. Please be advised providing false information may be an offense.

An Assessment fee of $95 is applicable to this application.

I understand that I must submit a detailed site plan of the proposed premises including the following:

o Procedure area
o Hand washing facilities
o Work stations and preparation area
o Preparation area for refreshments
o Instruments and equipment storage area
o General waste and medical waste receptacles
o Laundry facilities
o Natural or mechanical ventilation