Service delivery resources

Here you will find a range of resources and tools to support community pharmacists in delivering Chronic Conditions Management Pilot services.

  
Asthma program lifestyle prescription template - editable (DOCX 45 kB) Editable version of the lifestyle prescription template for the Queensland Community Pharmacy Pilot Asthma Symptom Control Program
Chronic Conditions Management Pilot handbook (PDF 596 kB) This handbook provides information regarding participation requirements, patient eligibility and management, and other operational requirements and processes for the Queensland Community Pharmacy Chronic Conditions Management Pilot
Combined clinical and financial consent information sheet (PDF 215 kB)Information for patients on clinical and financial consent requirements
COPD program lifestyle prescription template - editable
(DOCX 50 kB)
Editable version of the lifestyle prescription template for the Queensland Community Pharmacy Pilot COPD Monitoring Program
CVD Risk Management Plan - editable
(DOCX 50 kB)
Editable version of the CVD Risk Management Plan template for the Queensland Community Pharmacy Pilot CVD Risk Reduction Program.
Evaluation consent information sheet   (PDF 199 kB) Information for patients on evaluation consent requirements
Factsheet - PDL consultation fee subsidy (PDF 158 kB)Information regarding the PDL consultation fee subsidy for chronic conditions management pilot services.
Paper clinical record template
(DOCX 63 kB)
This paper clinical record is for use in the event of an outage of the Pilot Clinical Information System
Patient Eligibility Screening Tool
(PDF 167 kB)
The Patient Eligibility Screening Tool supports quick identification of patients who do not meet the basic eligibility criteria for chronic conditions management pilot services.
Pilot non-participation survey in-store resource (PDF 270 kB)Short survey that can be used as an in-store resource for patients who chose not to access Chronic Conditions Management pilot services.
Recency of practice and continuing professional development explanatory guide (PDF 1216 kB)Explanatory guide on the review process of recency of practice for pharmacists participating in the Chronic Conditions Management Pilot.
Registration Information Pack - Queensland Community Pharmacy Chronic Conditions Management Pilot (PDF 220 kB) Information for pharmacy owners and pharmacists on the registration process for the Queensland Community Pharmacy Chronic Conditions Management Pilot
Summary of changes
(PDF 346 kB)
Summary of key changes made to the versions of the Queensland community pharmacy pilot clinical protocols and clinical practice guidelines published 1 July 2025

Last updated: 2 July 2025