Surgical Mask Request Form

The masks are are intended for general practices and pharmacies in areas where there are shortages and stocks are unavailable commercially.

As there is a limited supply, a default allocation of 50 masks will be sent per request. If a larger allocation is required, please provide additional information to support the request in the comments section of the form.

If you are unable to see the Surgical Mask Request Form, please click here.

CONTACT US

Beckwith Park, 30 Tanunda Road Nuriootpa SA 5355
PO Box 868 Nuriootpa SA 5355
T 08 8565 8900 F 08 8311 1723
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@countrysaphn

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Country SA PHN gratefully acknowledge the financial and other support from the Australian Government Department of Health